Organization
BORN TO BLOSSOM, LLC
Active
Other names
Born to Blossom, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE HALLAK IBCLC (LACTATION CONSULTANT)
(619) 820-3238
Entity
Organization
Contact information
Practice address
2831 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3802
(619) 820-3238
(619) 931-2786
Mailing address
9927 EUBANK LN, SPRING VALLEY, CA 91977-6502
(619) 820-3238
(619) 931-2786
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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