Organization
BLOSSOM BEBES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGRIPINA MEDINA VISEREP (CEO/FOUNDER)
(551) 404-7113
Entity
Organization
Contact information
Practice address
155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 07470-7033
(551) 204-8625
Mailing address
245 BARKLEY AVE APT 1, CLIFTON, NJ 07011-3137
(551) 404-7113
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/19/2025
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