Individual
MRS. CORRI ELISE MARTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
13808 MONTFORT AVE, HERALD, CA 95638-9785
(559) 972-7200
Mailing address
10400 TWIN CITIES RD, STE 20 PMB 154, GALT, CA 95632
(559) 972-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95071234
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307969
CA
174N00000X
Lactation Consultant (Non-RN)
L-307969
—
374J00000X
Doula
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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