Organization
BLOSSOM BLISS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA I FLORES-NIETO DOULA LACTATION SUPP (DOULA)
(770) 906-7275
Entity
Organization
Contact information
Practice address
111 DRIFTWOOD LN, WOODSTOCK, GA 30188-4280
(770) 906-7275
Mailing address
111 DRIFTWOOD LN, WOODSTOCK, GA 30188-4280
(770) 906-7275
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/11/2023
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