Individual
ELISHA CULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 VALLEYBROOK DR, REDDING, CA 96003-2699
(530) 941-9165
Mailing address
650 VALLEYBROOK DR, REDDING, CA 96003-2699
(530) 941-9165
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11145249
CA
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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