Individual
MRS. SHARON LOIS MATTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1526 ARCHERY LN, GARLAND, TX 75044-7238
(972) 495-2805
Mailing address
1526 ARCHERY LN, GARLAND, TX 75044-7238
(972) 495-2805
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10613423
TX
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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