Individual
MRS. DIANA LISA CHAVEZ-GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
613 EDGEFIELD DR, GARLAND, TX 75040-7727
(469) 844-3574
Mailing address
613 EDGEFIELD DR, GARLAND, TX 75040-7727
(469) 844-3574
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11197880
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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