Individual
MS. KATIE SUE DAMOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, MAS
Contact information
Practice address
107 WEST MAIN STREET, #B, GRASS VALLEY, CA 95945
(530) 637-8411
Mailing address
107 WEST MAIN STREET, #B, GRASS VALLEY, CA 95945
(530) 637-8411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
04/21/2015
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