Individual
KELLI VENAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
22210 TIARA ST, WOODLAND HILLS, CA 91367-4543
(310) 210-3058
Mailing address
22210 TIARA ST, WOODLAND HILLS, CA 91367-4543
(310) 210-3058
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
624991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624991
RN
CA
Enumeration date
06/03/2016
Last updated
06/03/2016
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