Provider Demographics
NPI:1457590564
Name:PLOUDE, FAITH BALDWIN (BA, RLC, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:BALDWIN
Last Name:PLOUDE
Suffix:
Gender:F
Credentials:BA, RLC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21780 SW 157 AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI-DADE
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2112
Mailing Address - Country:US
Mailing Address - Phone:305-282-1975
Mailing Address - Fax:305-248-8235
Practice Address - Street 1:21780 SW 157 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI-DADE
Practice Address - State:FL
Practice Address - Zip Code:33170-2112
Practice Address - Country:US
Practice Address - Phone:305-282-1975
Practice Address - Fax:305-248-8235
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist