Individual
MARESA CYNTHIA ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
405 S FARBER AVE., COVINA, CA 91724
(818) 493-8069
Mailing address
405 S FARBER AVE., COVINA, CA 91724
(818) 493-8069
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305747
CA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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