Individual
MATTEA NICOLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
213 E WHATLEY ST, POOLER, GA 31322-3131
(209) 675-5661
Mailing address
213 E WHATLEY ST, POOLER, GA 31322-3131
(209) 675-5661
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-312861
GA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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