| NPI | 1053039941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA CERVANTES Owner/Provider 951-394-2087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |