Organization
RIVER REGION LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA POWELL RN, IBCLC (OWNER)
(334) 328-5138
Entity
Organization
Contact information
Practice address
871 WINDING WOOD DR, WETUMPKA, AL 36093-1685
(334) 328-5138
Mailing address
871 WINDING WOOD DR, WETUMPKA, AL 36093-1685
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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