Individual
VICKI BAILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, IBCLC
Contact information
Practice address
15303 HUEBNER RD STE 15, SAN ANTONIO, TX 78248-0983
(210) 646-1570
(281) 925-0648
Mailing address
BREASTFEEDING HOUSECALLS AND LACTATION CLINIC, LLC, PO BOX 16167, SAN ANTONIO, TX 78212
(210) 646-1570
(281) 925-0648
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-17728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
654792
TEXAS BOARD OF NURSING
TX
01
—
L-17728
IBCLC
TX
Enumeration date
12/05/2017
Last updated
12/05/2017
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