Organization
COLLEEN KNOWS BREAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN RANDOLPH RN (RN/ LC)
(650) 804-0859
Entity
Organization
Contact information
Practice address
6821 WAVERLY RD, MARTINEZ, CA 94553-6263
(650) 804-0859
Mailing address
6821 WAVERLY RD, MARTINEZ, CA 94553-6263
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
02/05/2020
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