Individual
KOHLE PERMENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
366 SCOTT ST, LIVERMORE, CA 94551-4930
(503) 490-3713
Mailing address
366 SCOTT ST, LIVERMORE, CA 94551-4930
(503) 490-3713
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L313808
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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