Individual
SUSANA BERUMEN OSEGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
80773 DESERT SPUR DR, INDIO, CA 92201-8328
(760) 409-8076
Mailing address
80773 DESERT SPUR DR, INDIO, CA 92201-8328
(760) 409-8076
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-30360
CA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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