Organization
VIA LACTEA WELLNESS INC
Active
Other names
Mamas and Milk
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN STACKHOUSE DICKERSON M.ED, IBCLC (PRESIDENT)
(858) 218-6455
Entity
Organization
Contact information
Practice address
11137 CAMINITO INOCENTA, SAN DIEGO, CA 92126-6109
(858) 218-6455
Mailing address
11137 CAMINITO INOCENTA, SAN DIEGO, CA 92126-6109
(858) 218-6455
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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