Individual
JULIE MATHENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, CLEC
Contact information
Practice address
1922 N LAS PALMAS AVE, LOS ANGELES, CA 90068-4101
(616) 822-1812
Mailing address
1922 N LAS PALMAS AVE, LOS ANGELES, CA 90068-4101
(616) 822-1812
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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