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Individual

TERESA EDMUNDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
PO BOX 6537, SAN DIEGO, CA 92166-0537
(858) 204-1391
Mailing address
PO BOX 6537, SAN DIEGO, CA 92166-0537
(858) 204-1391

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95090000
CA
163WC1500X
Community Health Registered Nurse
95090000
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95090000
CA

Other

Enumeration date
10/02/2021
Last updated
10/21/2024
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