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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAYA RADOCCIA-KENNEN, IBCLC

Active Sole Proprietor

MAYA RADOCCIA-KENNEN, IBCLC is a Lactation Consultant healthcare provider located in CLARKDALE, Arizona. NPI 1053797159 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · CLARKDALE, AZ

Registration Details

NPI Number
1053797159
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2015 (10.99607945971 yrs)
Last Updated
Jul 31, 2015
Sole Proprietor
Yes

Practice Information

Address
510 MAIN ST
CLARKDALE, AZ, 86324
Browse AZ providers · Browse ZIP 86324
Phone
9283013274
Primary Specialty
Lactation Consultant
174N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.