Individual
MICHELLE MEREDITH CLOOKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLEC
Contact information
Practice address
714 SAN GABRIEL PL, SAN DIEGO, CA 92109-8032
(619) 873-8488
Mailing address
3355 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 873-8488
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO OTHER NUMBERS
CA
Enumeration date
04/24/2018
Last updated
04/24/2018
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