Individual
STEPHANIE GOERDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 FM 2984, LULING, TX 78648-4445
(979) 218-9097
Mailing address
1328 FM 2984, LULING, TX 78648-4445
(979) 218-9097
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
762616
TX
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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