Individual
EMILY BOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DRAKE DR, GREENLAND, NH 03840-2112
(603) 828-7089
Mailing address
10 DRAKE DR, GREENLAND, NH 03840-2112
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
055979-21
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055979-21
NEW HAMPSHIRE BOARD OF NURSING
—
01
—
L-20911
IBLCE
—
Enumeration date
02/02/2016
Last updated
02/02/2016
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