Organization
MOTHERHOOD UNTAMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DAS IBCLC (OWNER)
(970) 235-0045
Entity
Organization
Contact information
Practice address
2601 S LEMAY AVE STE 35, FORT COLLINS, CO 80525-2296
(970) 235-0045
Mailing address
2718 STOCKBURY DR, FORT COLLINS, CO 80525-9696
(970) 219-0171
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
05/06/2026
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