Individual
ANDRIA GLORIA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3091 PALOMINO WAY, HOLLISTER, CA 95023-9267
(408) 823-9929
Mailing address
3091 PALOMINO WAY, HOLLISTER, CA 95023-9267
(408) 823-9929
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-319051
CA
Other
Enumeration date
07/12/2025
Last updated
09/05/2025
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