Individual
SARA ALDECOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2518 E MARIPOSA DR, EAGLE, ID 83616-5555
(208) 871-7295
Mailing address
5463 N XENIA ST, DENVER, CO 80238-3870
(208) 871-7295
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
42930
ID
Other
Enumeration date
04/21/2022
Last updated
10/30/2024
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