Organization
MY MOM GLOW LLC
Active
Other names
My Mom Glow
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANN LOBAINA LM,CPM,IBCLC (OWNER)
(305) 600-8109
Entity
Organization
Contact information
Practice address
2750 N 29TH AVE STE 309, HOLLYWOOD, FL 33020-1521
(954) 880-1182
(954) 301-8385
Mailing address
320 SW 67TH TER, PEMBROKE PINES, FL 33023-1274
(305) 600-8109
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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