Individual
MRS. SHIRLY MITTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, PCD(DONA)
Contact information
Practice address
16530 NE 48TH ST, REDMOND, WA 98052-5431
(425) 442-7012
Mailing address
16530 NE 48TH ST, REDMOND, WA 98052-5431
(425) 442-7012
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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