Individual
KRISTIN ROSE FORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4251 COMMONS DR W UNIT 5108, DESTIN, FL 32541-8635
(770) 722-6352
Mailing address
4251 COMMONS DR W UNIT 5108, DESTIN, FL 32541-8635
(770) 722-6352
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-15532
FL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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