Individual
MRS. MONNIE KATE TIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6850 AUSTIN CENTER BLVD STE 225, AUSTIN, TX 78731-3293
(512) 846-6455
Mailing address
513 SADDLEBACK RD, AUSTIN, TX 78737-4572
(817) 683-1106
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-310420
TX
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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