Individual
ALYSSA GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2918 WINCHESTER DR, ROUND ROCK, TX 78665-7804
(512) 415-8627
Mailing address
2918 WINCHESTER DR, ROUND ROCK, TX 78665-7804
(512) 415-8627
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-56531
TX
Other
Enumeration date
11/23/2014
Last updated
11/23/2014
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