Organization
THE MILK GROTTO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA WONG IBCLC (OWNER)
(703) 244-9216
Entity
Organization
Contact information
Practice address
10619 PLUCHEA CV, AUSTIN, TX 78733-5721
(512) 551-2371
Mailing address
PO BOX 161621, AUSTIN, TX 78716-1621
(512) 651-9360
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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