Individual
MADELINE MICHELLE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
5696 ROSE TIARA DR, LAS VEGAS, NV 89139-6960
(702) 785-1614
Mailing address
5696 ROSE TIARA DR, LAS VEGAS, NV 89139-6960
(702) 785-1614
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
NV
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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