Individual
MRS. PAMELA KELLY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CIBOLO RIDGE TRAIL, BOERNE, TX 78015
(210) 269-8115
Mailing address
208 CIBOLO RIDGE TRAIL, BOERNE, TX 78015
(210) 269-8115
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
103-20123
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
686650
TX
Other
Enumeration date
08/29/2012
Last updated
08/18/2015
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