Individual
MS. MICHANA SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3570 ELSA AVE, WALDORF, MD 20603-6057
(301) 643-1872
Mailing address
3570 ELSA AVE, WALDORF, MD 20603-6057
(301) 643-1872
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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