Individual
JACQUELINE CHRISTINE BURGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/IBCLC
Contact information
Practice address
4463 W MANDY LEE CV, RIVERTON, UT 84096-7775
(385) 313-8301
Mailing address
4463 W MANDY LEE CV, RIVERTON, UT 84096-7775
(385) 313-8301
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
501107-3102
UT
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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