NPI 1710518527

Angela Gomes Dos Santos, IBCLC

Practitioner Lactation Consultant (Non-RN) Marietta, GA

Practice location

Address: 3911 Mary Eliza Trce NW STE 200, Marietta, GA 30064-1088
Phone: (678) 384-3480
Mailing address: 1660 E Lake Dr, Marietta, GA 30062-2111

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-162040

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Registry record

NPI: 1710518527
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2020
Record last updated: 30 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.