| NPI | 1336657212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONJA DENISE CARPENTER Owner 254-753-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-126587) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2018-01-18 |