Individual
MELISSA MICHELLE BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
820 NANTUCKET DR, BEAUMONT, TX 77706-5335
(409) 673-9684
Mailing address
820 NANTUCKET DR, BEAUMONT, TX 77706-5335
(409) 673-9684
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
694305
TX
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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