Organization
MODERN MELANATED MOTHERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIECE WILLIAMS (LACTATION DOULA)
(678) 520-0696
Entity
Organization
Contact information
Practice address
109 WILLOWICK DR, LITHONIA, GA 30038-1725
(678) 520-0696
Mailing address
109 WILLOWICK DR, LITHONIA, GA 30038-1725
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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