Individual
ANGEL ROSE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
79504 BRAE GATE RD, PORTOLA, CA 96122-5235
(503) 990-2583
Mailing address
PO BOX 82, LOYALTON, CA 96118-0082
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-165787
—
374J00000X
Doula
—
—
Other
Enumeration date
04/12/2021
Last updated
03/18/2024
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