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Individual

BONITA RUTKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
212 W BETH WALD ST, EL PASO, TX 79938-0707
(915) 490-9147
Mailing address
212 W BETH WALD ST, EL PASO, TX 79938-0707
(915) 490-9147

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-108420
TX

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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