| NPI | 1659111524 |
|---|---|
| Doing Business As | THE EQUIPT MAMA |
| Entity Type | Organization |
| Authorized Contact | COURTNEY STALLWORTH CEO 678-712-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |