Individual
MARLA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
64 BALMA LN, PETALUMA, CA 94952-9621
(707) 795-3039
Mailing address
64 BALMA LN, PETALUMA, CA 94952-9621
(707) 795-3039
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
301963
CA
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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