Individual
OLIVIA MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 870-5030
Mailing address
425 N CALIFORNIA ST, STOCKTON, CA 95202-2130
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-33016
CA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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