Individual
SELINA MARIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7271 WILKERSON RD, STOCKBRIDGE, GA 30281-1914
(404) 594-9340
Mailing address
7271 WILKERSON RD, STOCKBRIDGE, GA 30281-1914
(404) 594-9340
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L157855
GA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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