Individual
MARGAUX KATHLEEN EVBUOMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC RN
Contact information
Practice address
204 AMBER CT, REDLANDS, CA 92374-4274
(909) 747-2166
Mailing address
204 AMBER CT, REDLANDS, CA 92374-4274
(909) 747-2166
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
841828
CA
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-314122
LACTATION CONSULTANT
CA
Enumeration date
06/27/2024
Last updated
06/12/2025
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