Modern Melanated Mothers

NPI #1356756944 in Lithonia, Georgia

Provider Information

NPI Number: 1356756944
Entity Type: Organization
Organization Name: Modern Melanated Mothers
Primary Specialty: In Home Supportive Care
Enumeration Date: Jun 23, 2014
Last Updated: Jun 23, 2014

Practice Location

Address: 109 WILLOWICK DR
City: Lithonia
State: Georgia
ZIP Code: 30038-1725
Phone: (678) 520-0696

Authorized Official

Name: DENIECE WILLIAMS
Title: LACTATION DOULA
Phone: (678) 520-0696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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