Individual
TERESA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
52 MAIN ST, HOPKINTON, MA 01748-1214
(617) 486-4005
Mailing address
PO BOX 258, HOPKINTON, MA 01748-0258
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
195-12263
MA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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