Individual
RACHEL MAXIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, IBCLC
Contact information
Practice address
1198 MELODY LN STE 103, ROSEVILLE, CA 95678-5100
(916) 240-1265
Mailing address
1198 MELODY LN STE 103, ROSEVILLE, CA 95678-5100
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-132871
CA
176B00000X
Midwife
Primary
471
CA
Other
Enumeration date
03/02/2012
Last updated
12/31/2019
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