Individual
TRACY JANE GUBELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
6430 IRA INGRAM DR, AUSTIN, TX 78749-1852
(405) 641-4038
Mailing address
6430 IRA INGRAM DR, AUSTIN, TX 78749-1852
(405) 641-4038
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
810272
TX
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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