Individual
JUDY SM LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
5518 N SANTA ANITA AVE, ARCADIA, CA 91006-5601
(626) 215-8150
Mailing address
5518 N SANTA ANITA AVE, ARCADIA, CA 91006-5601
(626) 215-8150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86114676
CA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305949
CA
Other
Enumeration date
08/31/2020
Last updated
12/16/2021
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