MEDICARE: DOREEN ABLAKWA GIWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	311518	TX

General Provider Information

NPI Number	:	1558182683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOREEN ABLAKWA GIWA

Provider Business Mailing Address
First Line	:	3310 WINCHESTER RANCH TRL
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-3644
Country	:	US
Telephone Number	:	832-682-6386
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 WINCHESTER RANCH TRL
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-3644
Country	:	US
Telephone Number	:	832-682-6386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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Directions to “ DOREEN ABLAKWA GIWA ” Practice Location

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