Individual
JESSICA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5315 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1270
(612) 223-8064
Mailing address
3134 W BDE MAKA SKA BLVD APT 210, MINNEAPOLIS, MN 55416-6004
(763) 607-1414
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302131
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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