Individual
AMANDA MARIE GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
125 TWILIGHT BAY DR, PANAMA CITY BEACH, FL 32407-2858
(678) 836-8962
Mailing address
125 TWILIGHT BAY DR, PANAMA CITY BEACH, FL 32407-2858
(678) 836-8962
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307774
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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