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NPI Code Detail

MEDICARE: MRS. ROSAMUND SE MSC, CALS

MEDICARE:  MRS. ROSAMUND  SE  MSC, CALS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1134991631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSAMUND SE MSC, CALS
Provider Business Mailing Address
First Line : 3869 STAFFORD BLVD
Second Line :
City : GULF SHORES
State : AL
Zip : 36542-3364
Country : US
Telephone Number : 251-504-9895
Fax Number :
Provider Business Practice Location Address
First Line : 3869 STAFFORD BLVD
Second Line :
City : GULF SHORES
State : AL
Zip : 36542-3364
Country : US
Telephone Number : 251-504-9895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2023
Last Update Date : 10/27/2023

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Directions to “ MRS. ROSAMUND SE MSC, CALS” Practice Location

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