Individual
MS. MARY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
313 ELMWOOD AVE, BUFFALO, NY 14222-2203
(716) 780-2662
Mailing address
69 BAYNES ST, BUFFALO, NY 14213-1644
(518) 506-8457
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
253482
NY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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