Organization
ZEN MOM
Active
Other names
Newborn & Lactation Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
LY NGO MSN, RN, IBCLC (OWNER)
(214) 886-0431
Entity
Organization
Contact information
Practice address
1911 ESPINOSA DR, CARROLLTON, TX 75010-4002
(214) 886-0431
(940) 445-6763
Mailing address
1911 ESPINOSA DR, CARROLLTON, TX 75010-4002
(214) 886-0431
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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