Individual
BROOKE RAVENSCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
14586 PRIVATE ROAD 3643, KEMPNER, TX 76539-3896
(254) 466-9155
Mailing address
14586 PRIVATE ROAD 3643, KEMPNER, TX 76539-3896
(254) 466-9155
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-164496
TX
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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