Individual
REBECCA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9764 YELLOW PINE RD, MIDLAND, GA 31820-4153
(907) 854-0812
Mailing address
9764 YELLOW PINE RD, MIDLAND, GA 31820-4153
(907) 854-0812
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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