STEPHANIE ANN BODAK NICHOLSON

MOODY, TX
NPI1407503717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
(Licence: TX  L-301558)
Enumeration Date2022-03-07
Last Update Date2022-03-07
Business Address
STEPHANIE ANN BODAK NICHOLSON IBCLC
15047 DOVE RD
MOODY, TX 76557-3160
Phone number: 254-913-6939
Mailing Address
STEPHANIE ANN BODAK NICHOLSON IBCLC
15047 DOVE RD
MOODY, TX 76557-3160
Phone number: 254-913-6939