Stephanie Ann Bodak Nicholson, IBCLC

NPI #1407503717 in Moody, Texas

Provider Information

NPI Number
1407503717
Entity Type
Individual
Name
Stephanie Ann Bodak Nicholson, IBCLC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Lactation Consultant, Non-RN
Credential
IBCLC
Enumeration Date
Mar 7, 2022
Last Updated
Mar 7, 2022

Practice Location

Address
15047 DOVE RD
City
Moody
State
Texas
ZIP Code
76557-3160
Phone
(254) 913-6939

Specialties & Taxonomy Codes

Specialty
Lactation Consultant, Non-RN

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