Individual
ALYSE MICAELA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3388
Mailing address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3388
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95029799
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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