Individual
HEATHER SHABESTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6089 MADRA AVE, SAN DIEGO, CA 92120-3943
(619) 794-3112
Mailing address
6089 MADRA AVE, SAN DIEGO, CA 92120-3943
(619) 794-3112
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L59289
CA
Other
Enumeration date
11/20/2014
Last updated
01/13/2015
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