Individual
MARY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0260080347
VT
163WL0100X
Lactation Consultant (Registered Nurse)
224128
MA
Other
Enumeration date
01/26/2009
Last updated
10/22/2012
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