Individual
HEIDI BURKE-PEVNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1808 SHERIDAN WAY, SAN MARCOS, CA 92078-0929
(760) 443-8683
Mailing address
1808 SHERIDAN WAY, SAN MARCOS, CA 92078-0929
(760) 443-8683
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-13603
CA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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