Individual
MISTI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2102 GOLDFINCH LN, LEAGUE CITY, TX 77573-3867
(713) 496-2223
Mailing address
2102 GOLDFINCH LN, LEAGUE CITY, TX 77573-3867
(281) 316-6986
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
651189
TX
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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