Michelle Ruby Anthonio, IBCLC
Lactation Consultant, Non-RN in Dallas, TX. Individual provider (NPI-1).
NPI number1255805875
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1255805875
- Entity type
- Individual (NPI-1)
- Name
- Michelle Ruby Anthonio
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2019
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-150024 | – | Yes |
| 374J00000X | Doula | – | – |
Practice location
7447 Walling LnDallas, TX 75231-7337
Phone 469-740-4448
Mailing address
1834 14th St Apt 416Santa Monica, CA 90404-5380
Phone 469-740-4448
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