Individual
MELLANIE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1237 SOUTHRIDGE CT, SUITE 208, HURST, TX 76053-4393
(817) 504-6947
Mailing address
1237 SOUTHRIDGE CT, SUITE 208, HURST, TX 76053-4393
(817) 504-6947
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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