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Individual

MRS. SHOSHANAH BLAISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNM, IBCLC

Contact information

Practice address
4395 WINDSONG CT SW, LILBURN, GA 30047-4239
(404) 458-7137
(470) 435-6493
Mailing address
4395 WINDSONG CT SW, LILBURN, GA 30047-4239
(404) 458-7137
(470) 435-6493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196459
GA
163WL0100X
Lactation Consultant (Registered Nurse)
RN196459
GA
174H00000X
Health Educator
367A00000X
Advanced Practice Midwife
Primary
RN196459
GA
374J00000X
Doula

Other

Enumeration date
12/11/2012
Last updated
07/01/2021
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