Individual
MIRANDA ELYSE PEROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2101 WEST AVE UNIT 101, SAN ANTONIO, TX 78201-2822
(281) 305-0411
(281) 572-0627
Mailing address
3007 WOODLAND HILLS DR # 205, KINGWOOD, TX 77339-1403
(281) 305-0411
(281) 572-0627
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
878063
TX
Other
Enumeration date
08/25/2023
Last updated
12/18/2023
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