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Mia Korinne Roetherford
Lactation Consultant (Non-RN) in Detroit, Michigan
NPI 1477058394

Mia Korinne Roetherford is a Lactation Consultant (Non-RN) based in Detroit, MI. Mia Korinne Roetherford practices in Detroit, MI. The NPI Number for Mia Korinne Roetherford is 1477058394 and holds a License No. L112282 (Michigan).

The current practice location address for Mia Korinne Roetherford is 18697 Sunderland Rd, Detroit, MI and can be reached out via phone at 313-587-0497. You can also correspond with Mia Korinne Roetherford through the mailing address at 18697 SUNDERLAND RD, DETROIT, MI - 48219-2816 (mailing address contact number: 313-587-0497).

Location: 18697 Sunderland Rd, Detroit, MI, 48219-2816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477058394
Provider Name
Mia Korinne Roetherford
Credential
Provider Entity Type
Individual
Gender
Female
Address
18697 Sunderland Rd, Detroit, MI, 48219-2816
Phone Number
313-587-0497
Fax Number
Provider Enumeration Date
03/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18697 Sunderland Rd
City
Detroit
State
Michigan
Zip
48219-2816
Phone Number
313-587-0497
Fax Number
person
Provider Business Mailing Address Details
Address
18697 Sunderland Rd
City
Detroit
State
Michigan
Zip
48219-2816
Phone Number
313-587-0497
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
L112282 (Michigan)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
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