Individual
MRS. AUGUSTA MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2191 EQUINOX TRCE APT 1C, COLFAX, NC 27235-0015
(919) 636-8900
Mailing address
2191 EQUINOX TRCE APT 1C, COLFAX, NC 27235-0015
(919) 636-8900
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-12364
—
Other
Enumeration date
07/23/2012
Last updated
09/09/2024
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