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Individual

SHANNON L SWEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
2700 E VILLA MARIA RD, BRYAN, TX 77802-2031
(979) 229-1175
Mailing address
2700 E VILLA MARIA RD, BRYAN, TX 77802-2031
(979) 229-1175

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
604376
TX

Other

Enumeration date
08/31/2010
Last updated
04/19/2021
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