Organization
MILKY WAVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY SELLERS BSN RN IBCLC (OWNER)
(910) 612-2302
Entity
Organization
Contact information
Practice address
11 COUNTRY CLUB DR, SHALLOTTE, NC 28470-4414
(910) 612-2302
Mailing address
11 COUNTRY CLUB DR, SHALLOTTE, NC 28470-4414
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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