Individual
CYNTHIA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4951 CECILVILLE AVE, LA CRESCENTA, CA 91214-2931
(310) 634-7668
Mailing address
4951 CECILVILLE AVE, LA CRESCENTA, CA 91214-2931
(310) 634-7668
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314623
CA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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