Individual
NICOLE CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 TREELINE PARK APT 1633, SAN ANTONIO, TX 78209-1845
(714) 269-6557
Mailing address
340 TREELINE PARK APT 1633, SAN ANTONIO, TX 78209-1845
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-301931
TX
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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