Individual
MRS. MARIA NOELA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN ,IBCLC
Contact information
Practice address
1701 JACAMAN RD, SUITE 8B, LAREDO, TX 78041-6210
(956) 717-6053
Mailing address
1701 JACAMAN RD, SUITE 8B, LAREDO, TX 78041-6210
(956) 717-6053
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11119244
TX
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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