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Individual

SUSAN JEAN TRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN IBCLC

Contact information

Practice address
10121 PINE AVE, 2ND FLOOR GENE UPSHAW MEMORIAL TAHOE FOREST CANCER CENT, TRUCKEE, CA 96161
(530) 582-3297
(530) 587-1444
Mailing address
10121 PINE AVE, 2ND FLOOR GENE UPSHAW MEMORIAL TAHOE FOREST CANCER CENT, TRUCKEE, CA 96161
(530) 582-3297
(530) 587-1444

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
473267
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L67288
CA

Other

Enumeration date
04/24/2020
Last updated
04/24/2020
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