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NPI Code Detail

MEDICARE: MRS. CHRISTINE M PILLADO IBCLC

MEDICARE:  MRS. CHRISTINE M PILLADO  IBCLC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1578779088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE M PILLADO IBCLC
Provider Business Mailing Address
First Line : 1205 CERRITO PERDIDO LN
Second Line :
City : EL PASO
State : TX
Zip : 79912-2037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1205 CERRITO PERDIDO LN
Second Line :
City : EL PASO
State : TX
Zip : 79912-2037
Country : US
Telephone Number : 915-240-9731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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