Individual
MRS. DESTINY OLIVEA SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
304 FREEMAN CIR, VILLA RICA, GA 30180-7085
(404) 834-3174
Mailing address
304 FREEMAN CIR, VILLA RICA, GA 30180-7085
(404) 834-3174
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
327732
GA
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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