Individual
MARIELLE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
285 MONROE DR, MOUNTAIN VIEW, CA 94040-1015
(650) 200-3972
Mailing address
285 MONROE DR, MOUNTAIN VIEW, CA 94040-1015
(650) 200-3972
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11194444
CA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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