Individual
JACQUELINE KAY CORP-MYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
17049 431ST AVE SE, NORTH BEND, WA 98045-9650
(315) 396-2857
Mailing address
17049 431ST AVE SE, NORTH BEND, WA 98045-9650
(315) 396-2857
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307756
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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