Individual
MICHELE DENISE SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30161 HILLSIDE TER, SAN JUAN CAPISTRANO, CA 92675-1539
(949) 293-0499
Mailing address
30161 HILLSIDE TER, SAN JUAN CAPISTRANO, CA 92675-1539
(949) 293-0499
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
335209
CA
Other
Enumeration date
02/02/2018
Last updated
06/16/2018
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