Organization
BABY MAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI DENISE BEALL RN IBCLC (OWNER)
(936) 264-7004
Entity
Organization
Contact information
Practice address
22307 PEBBLE FALLS LN, TOMBALL, TX 77375-2269
(936) 264-7004
Mailing address
22307 PEBBLE FALLS LN, TOMBALL, TX 77375-2269
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
TX
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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