Individual
SARAH VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC RN
Contact information
Practice address
20614 OAK RDG, LAGO VISTA, TX 78645-6039
(979) 480-4239
Mailing address
20614 OAK RDG, LAGO VISTA, TX 78645-6039
(979) 480-4239
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
109290
TX
163WL0100X
Lactation Consultant (Registered Nurse)
776783
TX
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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