Individual
JASMINE ALEXANDRIA ORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
530 N 108TH PL STE 203, WAUWATOSA, WI 53226-4253
(414) 249-4420
Mailing address
157 WALTON AVE, WAUKESHA, WI 53186-5903
(248) 709-8339
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
224190
WI
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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