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Individual

MRS. KATIE JANE HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, IBCLC

Contact information

Practice address
2604 HARRIMAN LN, REDONDO BEACH, CA 90278-4532
(310) 944-0622
Mailing address
2604 HARRIMAN LN, REDONDO BEACH, CA 90278-4532
(310) 944-0622

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-45264
CA
176B00000X
Midwife
Primary
LM582
CA
374J00000X
Doula

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-45264
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS CERTIFICATION NUMBER
Enumeration date
05/06/2016
Last updated
01/25/2020
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