Individual
MRS. FERDINANDA MARGARETHA GORTZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
82 WHITMAN CT, IRVINE, CA 92617-4065
(949) 856-3058
Mailing address
82 WHITMAN CT, IRVINE, CA 92617-4065
(949) 856-3058
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
NO LICENSE
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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