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Individual

ELISABETH C WELLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
21 EMORY ST, JERSEY CITY, NJ 07304-2566
(551) 655-5860
Mailing address
21 EMORY ST, JERSEY CITY, NJ 07304-2566
(551) 655-5860

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11166120
VA

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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