Individual
AMY JO SICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
9835 AUBURN RD, FORT WAYNE, IN 46825-2347
(260) 222-7406
Mailing address
3317 HOAGLAND AVE, FORT WAYNE, IN 46807-1921
(260) 437-7653
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313206
IN
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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