Individual
KAYLEE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBC
Contact information
Practice address
65 KENT ST APT 3, QUINCY, MA 02169-6490
(617) 302-6963
Mailing address
65 KENT ST APT 3, QUINCY, MA 02169-6490
(617) 302-6963
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
MA
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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