Individual
MARANDA SUE NYBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 KILN DELISLE RD STE C, PASS CHRISTIAN, MS 39571-9719
(228) 363-0158
Mailing address
10381 OLD SIDNEY RD, PASS CHRISTIAN, MS 39571-8426
(228) 669-5645
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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