Individual
DENA ANNE CISSNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2051 JOHN JONES RD, DAVIS, CA 95616-9701
(530) 758-2060
Mailing address
2051 JOHN JONES RD, DAVIS, CA 95616-9701
(530) 758-2060
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-16569
CA
Other
Enumeration date
12/04/2019
Last updated
03/17/2025
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