Individual
MRS. BETSY J CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1003 N 1000 W, CLINTON, UT 84015-8819
(931) 220-0136
Mailing address
1003 N 1000 W, CLINTON, UT 84015-8819
(931) 220-0136
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-110768
UT
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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