Individual
JACQUELINE AGUAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1235 W MAIN ST, MERCED, CA 95340-4524
(209) 383-2906
Mailing address
1235 W MAIN ST, MERCED, CA 95340-4524
(209) 383-2906
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-13221
CA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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