Individual
WANDA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
2781 SOUTHPARK BLVD SW, CONYERS, GA 30094-3374
(678) 641-7129
Mailing address
2781 SOUTHPARK BLVD SW, CONYERS, GA 30094-3374
(678) 641-7129
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
5689207
GA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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