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Individual

MICHELLE RUBY ANTHONIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
7447 WALLING LN, DALLAS, TX 75231-7337
(469) 740-4448
Mailing address
1834 14TH ST APT 416, SANTA MONICA, CA 90404-5380
(469) 740-4448

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-150024
374J00000X
Doula

Other

Enumeration date
01/16/2019
Last updated
03/05/2025
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