Individual
MAGDA R MENDIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC RLC
Contact information
Practice address
1906 LORETO DR, LAREDO, TX 78045-6326
(956) 740-9975
Mailing address
1906 LORETO DR, LAREDO, TX 78045-6326
(956) 740-9975
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11258766
TX
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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