Individual
MRS. MERRILY NICOLE REGINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, CPD, LCCE
Contact information
Practice address
624 PARK WAY, SOUTH SAN FRANCISCO, CA 94080-2646
(650) 388-0102
Mailing address
624 PARK WAY, SOUTH SAN FRANCISCO, CA 94080-2646
(650) 388-0102
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
10/25/2019
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