Organization
SUPPORTING OUR MOTHERS INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE OGBENI IBCLC (OWNER)
(347) 692-0488
Entity
Organization
Contact information
Practice address
17719 120TH AVE, JAMAICA, NY 11434-1929
(347) 692-0488
Mailing address
17719 120TH AVE, JAMAICA, NY 11434-1929
(347) 692-0488
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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