Individual
ATHENA CATACALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
522 POTTS ST, DAVIDSON, NC 28036-8406
(980) 999-3305
Mailing address
9914 FOREST DR, CHARLOTTE, NC 28216-1714
(980) 999-3305
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
313268
NC
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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