Individual
MS. TANYA MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CD
Contact information
Practice address
9874 WIER LOOP CIR, AUSTIN, TX 78736-7847
(512) 560-3732
(206) 666-5186
Mailing address
9874 WIER LOOP CIR, AUSTIN, TX 78736-7847
(512) 560-3732
(206) 666-5186
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19915901
TX
Other
Enumeration date
11/16/2010
Last updated
01/03/2013
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