Individual
MIIA MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
135 IGNICO DR APT 103-4, WARNER ROBINS, GA 31093-8670
(973) 752-7845
Mailing address
135 IGNICO DR APT 103-4, WARNER ROBINS, GA 31093-8670
(973) 752-7845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07354300
NJ
374J00000X
Doula
—
—
Other
Enumeration date
09/06/2018
Last updated
09/10/2022
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