Individual
MS. AUTUMN M HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7006 ASPEN AVE, TAKOMA PARK, MD 20912-5449
(301) 495-9881
Mailing address
7006 ASPEN AVE, TAKOMA PARK, MD 20912-5449
(301) 495-9881
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11112751
MD
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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