Individual
MRS. CHERIE ANN VISCONTI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MANOR RD, FAIRFAX, CA 94930-1407
(415) 509-6414
Mailing address
PO BOX 2031, SAN ANSELMO, CA 94979-2031
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-306128
CA
174N00000X
Lactation Consultant (Non-RN)
L-306128
CA
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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