Individual
JESSICA MARLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
74 MULBERRY LOOP NE, MINOT, ND 58703-0577
(859) 447-1205
Mailing address
74 MULBERRY LOOP NE, MINOT, ND 58703-0577
(859) 447-1205
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
329530
MT
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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