Individual
MRS. REBECCA SHELLY AGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC
Contact information
Practice address
350 SOUTH REEVES DR., 201, BEVERLY HILLS, CA 90212
(310) 729-3811
Mailing address
9373 W. OLYMPIC BLVD, BEVERLY HILLS, CA 90212
(310) 729-3811
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-109794
CA
Other
Enumeration date
07/14/2017
Last updated
07/21/2022
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