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Individual

MEREDITH BROOKE MANCE

Active
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Individual

MEREDITH BROOKE MANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LDM, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10051405
OR
163WL0100X
Lactation Consultant (Registered Nurse)
L-149934
OR
176B00000X
Midwife
99320
TX
176B00000X
Midwife
Primary
DEM-LD-10195740
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR

Other

Enumeration date
01/31/2018
Last updated
09/16/2026
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