Provider Demographics
NPI:1972348415
Name:B'MORE MILKY, LLC
Entity type:Organization
Organization Name:B'MORE MILKY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LACTATION CONSULANT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, IBCLC
Authorized Official - Phone:410-929-4669
Mailing Address - Street 1:723 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2939
Mailing Address - Country:US
Mailing Address - Phone:410-929-4669
Mailing Address - Fax:
Practice Address - Street 1:723 E 34TH ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2939
Practice Address - Country:US
Practice Address - Phone:410-929-4669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN