Individual
ALLISON EDNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8211 MYSTIC CHASE, BOERNE, TX 78015-6578
(541) 460-3072
Mailing address
8211 MYSTIC CHASE, BOERNE, TX 78015-6578
(541) 460-3072
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157898
OR
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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