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Organization

MODERN BEGINNINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNA BAILEY RN, IBCLC (MEMBER)
(817) 805-5843
Entity
Organization

Contact information

Practice address
2700 TIBBETS DR STE 502, BEDFORD, TX 76022-5916
(817) 805-5843
Mailing address
2700 TIBBETS DR STE 502, BEDFORD, TX 76022-5916
(817) 805-5843

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
174N00000X
Lactation Consultant (Non-RN)

Other

Enumeration date
10/21/2013
Last updated
02/03/2014
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