Organization
EASTERN SIERRA NUTRITION AND LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE VOORHEIS RD, CSP, IBCLC (OWNER)
(909) 210-1901
Entity
Organization
Contact information
Practice address
187 MAY ST, BISHOP, CA 93514-2709
(760) 920-6574
(760) 582-4559
Mailing address
425 CLARKE ST UNIT B, BISHOP, CA 93514-3528
(760) 920-6574
(760) 582-4559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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