Individual
MRS. ALISON GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC, DSII
Contact information
Practice address
8812 GUTIERREZ RD NE, ALBUQUERQUE, NM 87111-2325
(505) 414-7392
Mailing address
8812 GUTIERREZ RD NE, ALBUQUERQUE, NM 87111-2325
(505) 414-7323
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
55979
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# L-17110
IBCLE
NM
Enumeration date
05/29/2014
Last updated
02/19/2025
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