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Organization
MY MOM GLOW LLC
Active
Organization
MY MOM GLOW LLC
Active
Other names
My Mom Glow
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANN LOBAINA LM,CPM,IBCLC (OWNER)
(305) 600-8109
Entity
Organization
Contact information
Practice address
2750 N 29TH AVE STE 309, HOLLYWOOD, FL 33020-1521
(954) 880-1182
(954) 301-8385
Mailing address
320 SW 67TH TER, PEMBROKE PINES, FL 33023-1274
(305) 600-8109
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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