NPI 1053797159

Maya Radoccia-Kennen, IBCLC

Practitioner Lactation Consultant (Non-RN) Clarkdale, AZ

Practice location

Address: 510 Main St, Clarkdale, AZ 86324
Phone: (928) 301-3274
Mailing address: PO Box 225, Clarkdale, AZ 86324-0225

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

Other Lactation Consultant, Non-RN providers in Arizona →

Registry record

NPI: 1053797159
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2015
Record last updated: 31 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.