Individual
KHADIJAH ARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10722 ARROW ROUTE, 104, RANCHO CUCAMONGA, CA 91730
(877) 886-4559
Mailing address
120 LOCHWOOD CIR, YUKON, OK 73099-6651
(832) 221-1756
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-311568
OK
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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