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Individual

BREANNE BOOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
13164 OLD SYCAMORE DR, SAN DIEGO, CA 92128-4043
(303) 525-8138
Mailing address
13164 OLD SYCAMORE DR, SAN DIEGO, CA 92128-4043
(303) 525-8138

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L126580

Other

Enumeration date
08/05/2022
Last updated
08/05/2022
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