Individual
JESSICA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1006 MEPHAM DR, PITTSBURG, CA 94565
(925) 207-3188
Mailing address
1006 MEPHAM DR, PITTSBURG, CA 94565-3700
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10910180
CA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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