Individual
MARIA TILLINGHAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
569 APACHE TRL, CHINA SPRING, TX 76633-2831
(719) 358-3673
Mailing address
569 APACHE TRL, CHINA SPRING, TX 76633-2831
(719) 358-3673
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
568889
TX
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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