Individual
NATASHA-KRISTIN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 PONTIAC LN, CHANHASSEN, MN 55317-9447
(952) 239-1307
Mailing address
910 PONTIAC LN, CHANHASSEN, MN 55317-9447
(952) 239-1307
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11222218
MN
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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