Individual
AMETHYST HERTSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
38 W 36TH ST, BAYONNE, NJ 07002-2903
(917) 858-1754
Mailing address
38 W 36TH ST, BAYONNE, NJ 07002-2903
(917) 858-1754
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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