Individual
TRACEY JEDRZEJEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CLE, IBCLC
Contact information
Practice address
2716 HALLMARK DR, BELMONT, CA 94002-2914
(650) 303-5953
Mailing address
2716 HALLMARK DR, BELMONT, CA 94002-2914
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11175150
VA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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