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Organization

SUPPORT FOR MOTHERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHALIE ALVAREZ (LACTATION CONSULTANT-IBCLC)
(919) 214-0770
Entity
Organization

Contact information

Practice address
5313 BRIERCREST AVE, LAKEWOOD, CA 90713
(562) 405-7500
Mailing address
5313 BRIERCREST AVE, 5313 BRIERCREST AVE, LAKEWOOD, CA 90713-1423
(919) 214-0770

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-45463
CA

Other

Enumeration date
04/16/2014
Last updated
04/16/2014
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