Individual
MS. LISA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
811 GRAND AVE STE A-4, SACRAMENTO, CA 95838-3466
(916) 875-2133
Mailing address
440 CELEBRATION CT, ROSEVILLE, CA 95747-9529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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