Individual
LEAH ELIZABETH JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2017 BROADWAY ST STE B, PEARLAND, TX 77581-5501
(713) 496-2223
Mailing address
6104 JORDAN DR, PEARLAND, TX 77584-8024
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-15977
TX
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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