Individual
JENNIFER MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
897 E CHASE DR, CORONA, CA 92881-3940
(951) 394-2087
Mailing address
387 MAGNOLIA AVE # 103-137, CORONA, CA 92879-3307
(951) 329-1812
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302489
CA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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