Individual
MELISSA ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
12862 OLD FOOTHILL BLVD, SANTA ANA, CA 92705-1213
(714) 308-0855
Mailing address
12862 OLD FOOTHILL BLVD, SANTA ANA, CA 92705-1213
(714) 308-0855
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17562
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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