Individual
LINDA J GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2595 LARAMIE ROAD, RIVERSIDE, CA 92506-3331
(951) 315-1020
Mailing address
2595 LARAMIE RD, RIVERSIDE, CA 92506-3331
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-301215
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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