Individual
MRS. SHIRLEY GERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1001 OESTE DR, DAVIS, CA 95616-1852
(530) 220-0747
Mailing address
1001 OESTE DR, DAVIS, CA 95616-1852
(530) 220-0747
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11175928
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
10/29/2011
Last updated
10/29/2011
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