Individual
TAHYSHA MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2128 REMOUNT RD, CHARLOTTE, NC 28208-5051
(704) 968-4859
Mailing address
5148 KODIAK CT, CHARLOTTE, NC 28215-8734
(704) 968-4859
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-98393
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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