Individual
SHALONDA CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
266 AMBLING CIR, COLUMBIA, SC 29210-3826
(803) 598-0776
Mailing address
PO BOX 1200, IRMO, SC 29063-1200
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-160498
SC
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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