Individual
MINA OGNJANOVIC-JASOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
17046 BURBANK BLVD APT 1, ENCINO, CA 91316-1830
(818) 915-0191
Mailing address
17046 BURBANK BLVD APT 1, ENCINO, CA 91316-1830
(818) 915-0191
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-31537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002894751-0001-8
CITY OF LOS ANGELES
CA
01
—
L-31537
IBCLC
—
Enumeration date
04/28/2020
Last updated
04/28/2020
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