Individual
DOROTHY MARIE BOURGEOIS DE APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
612 ORANGE GROVE AVE # A, SOUTH PASADENA, CA 91030-2321
(323) 252-8068
Mailing address
612 ORANGE GROVE AVE # A, SOUTH PASADENA, CA 91030-2321
(323) 252-8068
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11196655
CA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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