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Organization
MINDFUL LACTATION EDUCATION, LLC
Active
Organization
MINDFUL LACTATION EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MICHELLE FOSTER CD, IBCLC, RLC (OWNER/OPERATOR)
(470) 533-9119
Entity
Organization
Contact information
Practice address
213 RUSSELL CT, CANTON, GA 30115-2918
(470) 533-9119
Mailing address
213 RUSSELL CT, CANTON, GA 30115-2918
(470) 533-9119
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
2083C0008X
Clinical Informatics Physician
—
NULL
2083C0008X
Clinical Informatics Physician
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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