Individual
AMY GIRGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
2352 YOSEMITE DR, LOS ANGELES, CA 90041-2612
(323) 550-8301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
638537
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-133671
CA
174N00000X
Lactation Consultant (Non-RN)
L-133671
CA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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