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Individual
MRS. SHOSHANAH BLAISS
Active
Individual
MRS. SHOSHANAH BLAISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196459
GA
163WL0100X
Lactation Consultant (Registered Nurse)
RN196459
GA
174H00000X
Health Educator
—
NULL
367A00000X
Advanced Practice Midwife
Primary
RN196459
GA
374J00000X
Doula
—
NULL
Other
Enumeration date
12/11/2012
Last updated
07/01/2021
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