Individual
JESSTINE RENEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2796 VICTORIA DR APT A, LAGUNA BEACH, CA 92651-3965
(949) 607-7428
Mailing address
2796 VICTORIA DR APT A, LAGUNA BEACH, CA 92651-3965
(949) 607-7428
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315536
CA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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