Organization
MAMA'S LATTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIBYLLE BARBARA RUNDEL IBCLC (OWNER, LACTATION CONSULTANT)
(520) 628-4202
Entity
Organization
Contact information
Practice address
330 E MORNING SUN CT, TUCSON, AZ 85704-6946
(520) 628-4202
(520) 797-1830
Mailing address
330 E. MORNING SUN CT., TUCSON, AZ 85704-0000
(520) 628-4202
(520) 797-1830
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
143903
AZ
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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