Individual
TERESITA DE JESUS VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3918 E 6TH ST, LOS ANGELES, CA 90023-1902
(323) 266-0287
Mailing address
3918 E 6TH ST, LOS ANGELES, CA 90023-1902
(323) 266-0287
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11193227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11193227
IBCLC
CA
Enumeration date
01/23/2013
Last updated
01/23/2013
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