Individual
MRS. TEGLENE A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2035 KIT CARSON CIRCLE, ARNOLD, CA 95223-2503
(209) 795-4393
Mailing address
PO BOX 2503, ARNOLD, CA 95223-2503
(209) 795-4393
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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