Individual
MRS. AMY KRISTEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
824 LA TIERRA DR, SAN MARCOS, CA 92078-4613
(407) 435-7770
Mailing address
824 LA TIERRA DR, SAN MARCOS, CA 92078-4613
(407) 435-7770
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11159054
CA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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