TANECIA FAVORS

SAN DIEGO, CA
NPI1952019747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WL0100X Registered Nurse, Lactation Consultant
(Licence: TX  937545)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95265162)
163W00000X Registered Nurse
(Licence: TX  937545)
174N00000X Lactation Consultant, Non-RN
Enumeration Date2022-11-10
Last Update Date2023-11-13
Business Address
Mrs. TANECIA FAVORS RN, CLC
10144 EPPERSON WAY
SAN DIEGO, CA 92124-3212
Phone number: 619-630-5684
Mailing Address
Mrs. TANECIA FAVORS RN, CLC
10144 EPPERSON WAY
SAN DIEGO, CA 92124-3212
Phone number: