Individual
MS. PATTY REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, ICEA-CCE,CPE
Contact information
Practice address
13401 ATRIUM CT, BAKERSFIELD, CA 93314-8503
(661) 203-4817
Mailing address
13401 ATRIUM CT, BAKERSFIELD, CA 93314-8503
(661) 203-4817
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11170249
CA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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