# GLENDA DATSKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104187871
- **Gender:** F
- **Credential:** CPM, LM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | FL | — |
| 176B00000X | Midwife | 380 | FL | Yes |
| 374J00000X | Doula | — | FL | — |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/25/2023
