Individual
KAITLYN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
721 NEVADA ST STE 306, REDLANDS, CA 92373-8053
(909) 572-8280
Mailing address
721 NEVADA ST STE 306, REDLANDS, CA 92373-8053
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
841698
CA
374J00000X
Doula
—
—
Other
Enumeration date
07/23/2024
Last updated
03/18/2025
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