Individual
MS. SHANTE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10822 N 17TH DR, PHOENIX, AZ 85029-5011
(602) 903-6550
Mailing address
10822 N 17TH DR, PHOENIX, AZ 85029-5011
(602) 903-6550
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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