Individual
TRACY ALSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
25255 CABOT RD STE 112, LAGUNA HILLS, CA 92653-5507
(505) 944-5825
Mailing address
209 SKLAR ST, LADERA RANCH, CA 92694-0805
(505) 944-5825
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
834555
CA
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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