Individual
MRS. NICOLE SAN AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2748 PACIFIC COAST HWY # 1055, TORRANCE, CA 90505-7002
(424) 265-8212
Mailing address
2748 PACIFIC COAST HWY # 1055, TORRANCE, CA 90505-7002
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95067407
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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