Individual
CARLY MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13374 TERRAZA PLAYA CANCUN, SAN DIEGO, CA 92124-1538
(619) 481-1000
Mailing address
13374 TERRAZA PLAYA CANCUN, SAN DIEGO, CA 92124-1538
(619) 481-1000
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
665665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665665
REGISTERED NURSE
CA
01
—
L-60664
IBCLC INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
—
Enumeration date
03/25/2015
Last updated
03/25/2015
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