MRS. Rose Marie Straeter, IBCLC

NPI #1679781637 in Mount Vernon, Illinois

Provider Information

NPI Number: 1679781637
Entity Type: Individual
Name: MRS. Rose Marie Straeter, IBCLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: IBCLC
Enumeration Date: May 21, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 15625 N SQUIRE LN
City: Mount Vernon
State: Illinois
ZIP Code: 62864-8620
Phone: (618) 244-2789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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