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MS. NIKI KONCHAR IBCLC

>> Specialist >> Other Service Providers

Registrant NPI Number: 1366653636

Individual Registrant:
MS. NIKI  KONCHAR IBCLC
Gender: F
Sole Proprietor

Location and contact information for practice:
249 COUNT ROADY 452  CHIRENO, TX 75937-0443 US
Tel: 936-558-8747  Fax: 936-362-2270

Contact information for business:
PO BOX 443  CHIRENO, TX 75937-0443 US
Tel: 936-558-8747  Fax: 936-362-2270

Registration Information:
NPI: 1366653636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
TX104-21259

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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