Individual
MS. AURELLIA CELESTE BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
10476 ROUNDHILL DR, GULFPORT, MS 39503-5585
(228) 574-5482
Mailing address
10476 ROUNDHILL DR, GULFPORT, MS 39503-5585
(228) 574-5482
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
355660
MA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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