Individual
TIFFANY ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1301 YARROW DR, HOLT, MI 48842-8768
(818) 414-4866
Mailing address
1301 YARROW DR, HOLT, MI 48842-8768
(818) 414-4866
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-317397
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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