Individual
JESSICA JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
233 SUNSET AVE, SANTA CRUZ, CA 95060-6335
(831) 252-0091
Mailing address
233 SUNSET AVE, SANTA CRUZ, CA 95060-6335
(831) 252-0091
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-56586
CA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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