Organization
MILKY MAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL N DUHANEY RN, BSN, IBCLC (CEO)
(951) 347-8730
Entity
Organization
Contact information
Practice address
10722 ARROW RTE STE 104, RANCHO CUCAMONGA, CA 91730-4809
(877) 886-4559
Mailing address
10722 ARROW RTE STE 104, RANCHO CUCAMONGA, CA 91730-4809
(877) 886-4559
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
818893
CA
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
01/03/2018
Last updated
04/10/2019
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