Individual
MS. DJUNA E BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
22650 TOWN DR APT 3, HAYWARD, CA 94541-6657
(510) 727-0572
Mailing address
22650 TOWN DR APT 3, HAYWARD, CA 94541-6657
(510) 727-0572
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11145861
CA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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