Individual
HEATHER MARIE CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
188 MARYWOOD DR, CLAYTON, NC 27520-9066
(304) 890-8021
Mailing address
188 MARYWOOD DR, CLAYTON, NC 27520-9066
(304) 890-8021
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-109519
VA
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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