Individual
MANDIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 579-2969
Mailing address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 341-9341
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1037501
TX
Other
Enumeration date
07/07/2018
Last updated
05/15/2021
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