Individual
CARRIE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3009 STANTON CIR, CARMICHAEL, CA 95608-3734
(714) 768-1491
Mailing address
3009 STANTON CIR, CARMICHAEL, CA 95608-3734
(714) 768-1491
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L141966
CA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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