Individual
BETH LILIENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLEC, PCD
Contact information
Practice address
521 35TH AVE, SANTA CRUZ, CA 95062-5110
(831) 588-7367
Mailing address
521 35TH AVE, SANTA CRUZ, CA 95062-5110
(831) 588-7367
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
02/09/2021
Last updated
10/24/2024
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