Individual
JENNIFER GWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
6918 CHINOOK DR, AUSTIN, TX 78736-1802
(512) 217-3834
Mailing address
6918 CHINOOK DR, AUSTIN, TX 78736-1802
(512) 217-3834
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
47506
TX
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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