Individual
GLENDA DATSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
17499 HANNA RD, LUTZ, FL 33549-5669
(727) 642-6586
Mailing address
17499 HANNA RD, LUTZ, FL 33549-5669
(727) 642-6586
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
—
FL
176B00000X
Midwife
Primary
380
FL
374J00000X
Doula
—
FL
Other
Enumeration date
05/30/2012
Last updated
05/25/2023
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