Individual
YOLANDA BLACK FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, IBCLC
Contact information
Practice address
22 MAYER CT, IRVINE, CA 92617-4113
(617) 970-3046
(949) 854-7154
Mailing address
22 MAYER CT, IRVINE, CA 92617-4113
(617) 970-3046
(949) 854-7154
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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