Individual
SHAVONDA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLC
Contact information
Practice address
200 PINE GROVE RD, CEDARBLUFF, MS 39741-9618
(662) 251-7885
Mailing address
200 PINE GROVE RD, CEDARBLUFF, MS 39741-9618
(662) 251-7885
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307968
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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