Individual
MIRANDA JOHNSON-HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 S OAKLAND AVE, PASADENA, CA 91106-3722
(818) 621-5477
Mailing address
763 S OAKLAND AVE, PASADENA, CA 91106-3722
(818) 621-5477
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17582
CA
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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