Individual
CAROLYN CANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
911 N PASS AVE, BURBANK, CA 91505-2704
(818) 486-1932
Mailing address
911 N PASS AVE, BURBANK, CA 91505-2704
(818) 486-1932
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-109903
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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