IndividualActive
Maya Radoccia-Kennen, IBCLC
NPI 1053797159 · Lactation Consultant (Non-RN) · Clarkdale, AZ
Provider details
- NPI number
- 1053797159
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
510 Main St
Clarkdale, AZ 86324
Phone: (928) 301-3274
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 225
Clarkdale, AZ 86324-0225
Registry dates
- Enumerated
- 2015-07-31
- Last updated
- 2015-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.