Individual
ANGELA DERAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 CASCADE PKWY SW, ATLANTA, GA 30311-3090
(706) 415-2862
Mailing address
1175 CASCADE PKWY SW, ATLANTA, GA 30311-3090
(706) 415-2862
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-16676
GA
163WM0102X
Maternal Newborn Registered Nurse
Primary
129675
GA
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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