Individual
JEANNIE CATHERINE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9622 WILDGRASS CT, SUGAR LAND, TX 77498-7545
(281) 837-6650
Mailing address
9622 WILDGRASS CT, SUGAR LAND, TX 77498-7545
(281) 837-6650
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
986213
TX
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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