Individual
MRS. CAROLYN A. BRUICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, RLC
Contact information
Practice address
8201 TEAKWOOD DR, WACO, TX 76712-2425
(254) 749-2343
Mailing address
539 W COMMERCE ST STE 8429, DALLAS, TX 75208-1953
(254) 749-2343
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
675043
TX
Other
Enumeration date
08/23/2023
Last updated
10/16/2023
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