Individual
MS. NIKI KONCHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
249 COUNT ROADY 452, CHIRENO, TX 75937-0443
(936) 558-8747
(936) 362-2270
Mailing address
PO BOX 443, CHIRENO, TX 75937-0443
(936) 558-8747
(936) 362-2270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
104-21259
TX
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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