Individual
RACHEL SUPERCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Contact information
Practice address
1705 CARDINAL LN, COLLEGE STATION, TX 77845-8178
(979) 324-8909
Mailing address
1705 CARDINAL LN, COLLEGE STATION, TX 77845-8178
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302710
TX
176B00000X
Midwife
99538
TX
374J00000X
Doula
—
—
Other
Enumeration date
10/07/2019
Last updated
01/15/2024
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