Individual
JENNIFER W ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC,
Contact information
Practice address
134 HAHN WAY, COTATI, CA 94931-5313
(415) 306-3051
Mailing address
134 HAHN WAY, COTATI, CA 94931-5313
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L31827
CA
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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