Search › New Jersey › 174N00000X
Kristie Fawkes, IBCLC
NPI 1932509106 · on the registry since 2014 · sole proprietor
Practice
- Address
- 601 Pitney Dr Apt 4
Spring Lake, NJ 07762 - Phone
- (617) 640-3148
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey