Individual
MRS. KRISTINA POPPLEWELL AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
809 KEOKUK ST, PETALUMA, CA 94952-2140
(510) 290-5075
Mailing address
809 KEOKUK ST, PETALUMA, CA 94952-2140
(510) 290-5075
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309186
CA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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