Organization
ORIGINAL MAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CELIS RN, IBCLC (OWNER)
(480) 203-1136
Entity
Organization
Contact information
Practice address
7 E PALO VERDE ST STE 10, GILBERT, AZ 85296-1045
(480) 618-7219
(480) 885-2402
Mailing address
7 E PALO VERDE ST STE 10, GILBERT, AZ 85296-1045
(480) 203-1136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
251J00000X
Nursing Care Agency
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
07/18/2025
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