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Individual

JENNIFER LIZA SUFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
66 PROSPER ST, SAN FRANCISCO, CA 94114-1609
(415) 939-7877
Mailing address
1533 RALSTON AVE, BURLINGAME, CA 94010-5109
(415) 939-7877

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-33935
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-33935
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
Enumeration date
09/06/2011
Last updated
11/19/2019
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