Individual
MS. TANNYKA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN IBCLC
Contact information
Practice address
610 N CHESTER ST, BALTIMORE, MD 21205-2303
(410) 675-2125
Mailing address
3102 NORTHMONT RD, BALTIMORE, MD 21244-2976
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-49015
MD
163WL0100X
Lactation Consultant (Registered Nurse)
R183794
MD
Other
Enumeration date
04/03/2018
Last updated
01/27/2021
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