Individual
TERRI M SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4703 RAMSEY AVE, AUSTIN, TX 78756-2807
(281) 543-0134
Mailing address
4703 RAMSEY AVE, AUSTIN, TX 78756-2807
(281) 543-0134
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
805149
TX
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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