Individual
SARAH CASSIDY GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R, IBCLC
Contact information
Practice address
307 CARRIE CT, NEWPORT, NC 28570-7038
(252) 665-0813
Mailing address
307 CARRIE CT, NEWPORT, NC 28570-7038
(252) 665-0813
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
253238
NC
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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