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

JESSICA J TAK, IBCLC

Active Sole Proprietor

JESSICA J TAK, IBCLC is a Lactation Consultant healthcare provider located in KAYSVILLE, Utah. NPI 1922764646 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · KAYSVILLE, UT

Registration Details

NPI Number
1922764646
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2021 (4.6976750756498 yrs)
Last Updated
Nov 17, 2021
License
L-110720
Sole Proprietor
Yes

Practice Information

Address
1513 S 700 E
KAYSVILLE, UT, 840373000
Browse UT providers · Browse ZIP 84037
Phone
8018645094
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.