Individual
MELISSA MARIE COLASACCO
Active
Individual
MELISSA MARIE COLASACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-164782
OK
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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