Individual
SARAH ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(601) 751-4000
Mailing address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
951501
TX
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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