Individual
MRS. FAYETTE SOCORRO MACMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2778 HAMPTON WAY, CLOVIS, CA 93611-5570
(559) 269-2661
Mailing address
2778 HAMPTON WAY, CLOVIS, CA 93611-5570
(559) 269-2661
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L302822
CA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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