Individual
HELINA TESHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1901 MARIACHI CT, AUSTIN, TX 78732-1935
(512) 203-6264
Mailing address
1901 MARIACHI CT, AUSTIN, TX 78732-1935
(512) 203-6264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716143
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11125548
TX
Other
Enumeration date
09/23/2010
Last updated
05/16/2012
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