Estella Alvarez Tanksley, IBCLC
Lactation Consultant, Non-RN in Austin, TX. Individual provider (NPI-1).
NPI number1417776550
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1417776550
- Entity type
- Individual (NPI-1)
- Name
- Estella Alvarez Tanksley
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 4, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-10257 | CA | Yes |
Other names
- Estella Alvarez (Former Name)
Practice location
1101 Camino La CostaAustin, TX 78752-3930
Phone 512-684-1744
Mailing address
1101 Camino La CostaAustin, TX 78752-3930
Phone 210-684-1744 · Fax 512-708-1835
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