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Organization

CLEMENTINA HEALTH LLC

Active
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Organization

CLEMENTINA HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARAIZA THIAGO-MUNOZ IBCLC (FOUNDER AND CEO)
(610) 554-9597
Entity
Organization

Contact information

Practice address
205 DEVELIN DR, PHOENIXVILLE, PA 19460-1519
(610) 554-9597
Mailing address
205 DEVELIN DR, PHOENIXVILLE, PA 19460-1519
(610) 554-9597

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
133N00000X
Nutritionist
163WL0100X
Lactation Consultant (Registered Nurse)
174N00000X
Lactation Consultant (Non-RN)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
10/21/2025
Last updated
10/21/2025
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