Individual
LILIAN MARISOL ROSALES MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 KINGSTON CT SE STE 103, MARIETTA, GA 30067-8928
(770) 644-0555
Mailing address
26 WESLEY DREW LN NW, CARTERSVILLE, GA 30121-4636
(706) 266-1014
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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