Individual
JOANNA BREUGEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
590 A CIR, PINE MOUNTAIN VALLEY, GA 31823-3613
(209) 535-3075
Mailing address
590 A CIR, PINE MOUNTAIN VALLEY, GA 31823-3613
(209) 535-3075
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-301275
GA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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