Individual
MIANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
111 RAMBLE LN, AUSTIN, TX 78745-2278
(512) 808-0237
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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