Individual
MRS. DANIELLE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
502 SMITH STREET, HENDERSON, TX 75654
(903) 722-4556
Mailing address
502 SMITH STREET, HENDERSON, TX 75654
(903) 722-4556
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
323718
TX
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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