Organization
BOSQUE BIRTH & BREASTFEEDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA JEAN TAYLOR IBCLC (OWNER & FOUNDER)
(505) 221-6397
Entity
Organization
Contact information
Practice address
1305 BLAKE RD SW, ALBUQUERQUE, NM 87105-4779
(505) 221-6397
(505) 503-8097
Mailing address
1305 BLAKE RD SW, ALBUQUERQUE, NM 87105-4779
(505) 221-6397
(505) 503-8097
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-55665
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-55665
IBLCE
—
Enumeration date
06/08/2018
Last updated
03/01/2019
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