Organization
NOURISHING JUSTLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAVISA WOOD IBCLC (CLINICAL DIRECTOR)
(916) 572-4433
Entity
Organization
Contact information
Practice address
5108 ARCHCREST WAY, SACRAMENTO, CA 95835-1641
(916) 572-4433
Mailing address
5108 ARCHCREST WAY, SACRAMENTO, CA 95835-1641
(916) 572-4433
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
01/08/2025
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