Individual
MARESHA MINCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN-RN, IBCLC
Contact information
Practice address
2816 CELLO LN, KISSIMMEE, FL 34741-0003
(954) 822-8372
Mailing address
2816 CELLO LN, KISSIMMEE, FL 34741-0003
(954) 822-8372
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-310925
FL
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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