Individual
EVONNE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
200 E DEL MAR BLVD STE 126, PASADENA, CA 91105-2551
(626) 808-4131
(626) 657-8184
Mailing address
PO BOX 61281, PASADENA, CA 91116-7281
(626) 657-8184
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-135842
CA
374J00000X
Doula
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144920596
NPPES
—
Enumeration date
12/29/2017
Last updated
05/20/2026
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