Individual
MRS. CLARA MARYLENE ANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
838 W PRATT STREET, BALTIMORE, MD 21201
(443) 972-1078
Mailing address
10 LIGHT STREET, # 2704, BALTIMORE, MD 21202
(443) 972-1078
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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