Individual
DIANA CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RN
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-59294
GA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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