Organization
GWINNETT BREASTFEEDING, LLC
Active
Other names
Tent Birth and Breastfeeding Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY-ANN LATOYA LOUIE IBCLC (LACTATION CONSULTANT/OWNER)
(678) 750-3121
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD, BUILDING C, UNIT A, DULUTH, GA 30096-3461
(678) 750-3121
Mailing address
3400 MCCLURE BRIDGE RD, BUILDING C, UNIT A, DULUTH, GA 30096-3461
(678) 750-3121
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
05/09/2024
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