Individual
LEAH JAYNE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
2210 W UNIVERSITY DR, PORTALES, NM 88130-9345
(620) 480-9033
Mailing address
2210 W UNIVERSITY DR, PORTALES, NM 88130-9345
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
331362
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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