Individual
MRS. MARY MARTHA RADINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
543 N LELAND AVE, SAN PEDRO, CA 90732-2627
(310) 963-3392
Mailing address
543 N LELAND AVE, SAN PEDRO, CA 90732-2627
(310) 963-3392
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L108117
CA
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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