Individual
BETHANY WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
418 E WILBUR RD APT 207, THOUSAND OAKS, CA 91360-5476
(925) 231-5143
Mailing address
418 E WILBUR RD APT 207, THOUSAND OAKS, CA 91360-5476
(925) 231-5143
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309538
—
374J00000X
Doula
—
—
Other
Enumeration date
04/27/2023
Last updated
06/24/2024
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