Individual
MRS. DAWNITA WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN, IBCLC
Contact information
Practice address
15892 QUARTZ ST, WESTMINSTER, CA 92683-7246
(714) 742-9136
Mailing address
15892 QUARTZ ST, WESTMINSTER, CA 92683-7246
(714) 742-9136
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
681671
CA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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