Organization
GULF COAST BREASTFEEDING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARANDA SUE NYBO (IBCLC)
(228) 669-5645
Entity
Organization
Contact information
Practice address
6340 KILN DELISLE RD STE C, PASS CHRISTIAN, MS 39571-9719
(228) 669-5645
Mailing address
6340 KILN DELISLE RD STE C, PASS CHRISTIAN, MS 39571-9719
(228) 669-5645
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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