Individual
ANGELA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-OB, IBCLC
Contact information
Practice address
505 TURTLE CREEK CT, O FALLON, IL 62269-3053
(618) 520-9898
Mailing address
505 TURTLE CREEK CT, O FALLON, IL 62269-3053
(618) 520-9898
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L85488
MO
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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