Individual
JENNA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
31088 WATERTON CT, MURRIETA, CA 92563-7123
(760) 845-7318
Mailing address
31088 WATERTON CT, MURRIETA, CA 92563-7123
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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