Individual
HOLLY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Mailing address
5030 N LOOP 1604 E APT 5207, SAN ANTONIO, TX 78247-2085
(210) 693-2522
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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