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Organization

MOTHER 2 MOTHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA DAWN DAVIS ROCKWELL RN, IBCLC, DOULA (SOLE PROPRIETOR)
(207) 538-7129
Entity
Organization

Contact information

Practice address
5 BANGOR ST, HOULTON, ME 04730-1711
(207) 538-7129
Mailing address
5 BANGOR ST, HOULTON, ME 04730-1711
(207) 538-7129

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
51401
ME
374J00000X
Doula
51401
ME

Other

Enumeration date
04/02/2014
Last updated
04/02/2014
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