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Organization

MOTHERS TO BE LACTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA MURRAY (OWNER)
(318) 759-0950
Entity
Organization

Contact information

Practice address
3348 PEACHTREE RD NE, ATLANTA, GA 30326-1067
(678) 935-9359
Mailing address
8870 YOUREE DR STE 110, SHREVEPORT, LA 71115-2512
(318) 759-0950

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982120168
LA
Enumeration date
09/13/2018
Last updated
09/13/2018
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