Individual
MS. ALYSSA QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
10309 FLATLAND TRL, CONVERSE, TX 78109-1665
(210) 324-3365
Mailing address
10309 FLATLAND TRL, CONVERSE, TX 78109-1665
(210) 324-3365
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
849570
TX
Other
Enumeration date
03/23/2020
Last updated
05/10/2020
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