Individual
JACQUELINE ANN CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, CLC
Contact information
Practice address
13917 TRURO AVE, HAWTHORNE, CA 90250-6832
(708) 269-7637
Mailing address
13917 TRURO AVE, HAWTHORNE, CA 90250-6832
(708) 269-7637
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95091919
CA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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