Individual
MICHELE BOUBEDE GRANITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., I.B.C.L.C.
Contact information
Practice address
301 BUSHY CREEK RD., 106, CEDAR PARK, TX 78613
(512) 765-9959
Mailing address
301 BUSHY CREEK RD., 106, CEDAR PARK, TX 78613
(512) 765-9959
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1188070
TX
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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