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Individual

MRS. AMANDA M DEWEESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, CPH, IBCLC

Contact information

Practice address
4601 MARCHMONT BLVD, LAND O LAKES, FL 34638-7764
(813) 205-4889
Mailing address
4601 MARCHMONT BLVD, LAND O LAKES, FL 34638-7764

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-116572
FL

Other

Enumeration date
03/17/2018
Last updated
03/17/2018
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