Individual
MRS. EVA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
23631 VIA NAVARRA, MISSION VIEJO, CA 92691-3635
(949) 455-0360
Mailing address
23631 VIA NAVARRA, MISSION VIEJO, CA 92691-3635
(949) 455-0360
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10935709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10935709
IBCLE
CA
Enumeration date
02/29/2012
Last updated
02/29/2012
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