Organization
ESSENTIAL LACTATION SUPPORT
Active
Other names
Essential Lactation Support
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE LYNN CUTRONE BS, IBCLC (IBCLC)
(470) 285-4772
Entity
Organization
Contact information
Practice address
3635 AZURITE ST, CUMMING, GA 30040-6096
(470) 285-4772
Mailing address
3635 AZURITE ST, CUMMING, GA 30040-6096
(470) 285-4772
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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