Individual
TISHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
871 WINDING WOOD DR, WETUMPKA, AL 36093-1685
(334) 328-5138
Mailing address
871 WINDING WOOD DR, WETUMPKA, AL 36093-1685
(334) 328-5138
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1097398
AL
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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