Individual
MRS. JUSTINA JO ENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
29601 BUTTERFIELD WAY, TEHACHAPI, CA 93561-7425
(661) 238-3066
(661) 821-0409
Mailing address
29601 BUTTERFIELD WAY, TEHACHAPI, CA 93561-7425
(661) 238-3066
(661) 821-0409
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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