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Organization

BREASTFEEDING COUNSELOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSSA N PERI IBCLC (OWNER/CEO)
(972) 694-1429
Entity
Organization

Contact information

Practice address
4100 SWISS AVE, DALLAS, TX 75204-6661
(972) 694-1429
Mailing address
4100 SWISS AVE, DALLAS, TX 75204-6661

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/19/2022
Last updated
08/17/2023
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