Individual
RACHEL KELLY-GROLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/IBCLC
Contact information
Practice address
2900 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1816
(831) 423-4111
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10885479
CA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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