| NPI | 1699242537 |
|---|---|
| Former Legal Business Name | EPIPHANY LACTATION AND DEVELOPMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | FARAH MARILYN ANTOINE-MAYBERRY Owner 405-473-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |