Individual
MRS. JACQUELINE ETHEL MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
5095 WOODLAND WAY, EUREKA, CA 95503-9785
(707) 599-3652
(707) 443-5300
Mailing address
5095 WOODLAND WAY, EUREKA, CA 95503-9785
(707) 599-3652
(707) 443-5300
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
178385
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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