Organization
LATCH LADIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY DAVIDSON ZUKOSKI RN, IBCLC (OWNER)
(817) 456-1217
Entity
Organization
Contact information
Practice address
6416 LANSDALE RD, FORT WORTH, TX 76116-1624
(817) 456-1217
Mailing address
6416 LANSDALE RD, FORT WORTH, TX 76116-1624
(817) 456-1217
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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