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Individual
ANISSA NISHIRA CORNELIUS
Active
Individual
ANISSA NISHIRA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-314425
NULL
176B00000X
Midwife
Primary
765
CA
Other
Enumeration date
10/11/2012
Last updated
05/06/2025
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