Individual
JESSICA ROBYN DEASES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2510 S LOOP 336 W STE 215, CONROE, TX 77304-3701
(832) 326-5858
Mailing address
51 NEW DAWN PL, THE WOODLANDS, TX 77385-3679
(832) 326-5858
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
697945
TX
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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