Individual
KARA SUNDERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
17214 RUSSET ST, SAN DIEGO, CA 92127-2140
(858) 247-1417
Mailing address
17214 RUSSET ST., SAN DIEGO, CA 92127
(858) 247-1417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843684
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-77765
ZZ
163WM1400X
Nurse Massage Therapist (NMT)
843684
CA
Other
Enumeration date
11/13/2015
Last updated
07/21/2022
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