Individual provider · NPI-1

Clara Marylene Annibal

Lactation Consultant, Non-RN · Baltimore, MD

NPI number1245749498
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1245749498
Entity type
Individual (NPI-1)
Name
Mrs. Clara Marylene Annibal
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174N00000X Lactation Consultant, Non-RN––Yes
374J00000X Doula––

Practice location

838 W Pratt Street
Baltimore, MD 21201

Phone 443-972-1078

Mailing address

10 Light Street
# 2704
Baltimore, MD 21202

Phone 443-972-1078

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