Individual
CARLEE ELIZABETH RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1860 CORTEZ AVE, ESCONDIDO, CA 92026-1705
(760) 420-6171
Mailing address
1860 CORTEZ AVE, ESCONDIDO, CA 92026-1705
(760) 420-6171
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-150540
CA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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