Individual
MS. JENNIFER NEIRA HEYSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Contact information
Practice address
62 OAKES BLVD APT 6, SAN LEANDRO, CA 94577-2845
(510) 708-6741
Mailing address
PO BOX 2355, SAN LEANDRO, CA 94577-0235
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-157587
CA
176B00000X
Midwife
Primary
283
CA
Other
Enumeration date
02/23/2011
Last updated
01/25/2024
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