Individual
MELISSA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2606 GLENDALE DR, WACO, TX 76710-2133
(254) 716-3968
Mailing address
2606 GLENDALE DR, WACO, TX 76710-2133
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
692393
TX
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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