Individual
KATRINA ASSUNTA ROCHON GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
773 CHARLTON RD, BALLSTON LAKE, NY 12019-2803
(541) 361-0339
Mailing address
773 CHARLTON RD, BALLSTON LAKE, NY 12019-2803
(541) 361-0339
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
329140
NY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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