Individual
BIANCA TODD WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
136 SIOWAN AVE, OCEAN SPRINGS, MS 39564-5321
(228) 233-0686
Mailing address
136 SIOWAN AVE, OCEAN SPRINGS, MS 39564-5321
(228) 233-0686
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-110692
MS
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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