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Individual

MRS. MARIA BIBI ITANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1311 SEPULVEDA BLVD APT 342, TORRANCE, CA 90501-5133
(323) 443-5288
Mailing address
1311 SEPULVEDA BLVD APT 342, TORRANCE, CA 90501-5133
(323) 443-5288

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-164803
CA

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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