Individual
LINDA FODREY BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
9350 DAUCHY AVE, RIVERSIDE, CA 92508-9324
(951) 776-0180
Mailing address
9350 DAUCHY AVE, RIVERSIDE, CA 92508-9324
(951) 776-0180
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11133184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11133184
IBCLC
CA
Enumeration date
01/06/2014
Last updated
01/06/2014
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