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Organization

MOTHER NURTURE LACTATION & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER BAZEMORE RN, IBCLC (OWNER/RN/IBCLC)
(910) 840-1135
Entity
Organization

Contact information

Practice address
2245 STANTONSBURG RD STE B, GREENVILLE, NC 27834-2868
(910) 840-1135
Mailing address
106 SOUTHRIDGE DR, GREENVILLE, NC 27858-9266

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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