Individual
CAMILLIA BIANCA VILLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2619 VANDERBILT LN UNIT C, REDONDO BEACH, CA 90278-3488
(323) 363-8345
Mailing address
2619 VANDERBILT LN UNIT C, REDONDO BEACH, CA 90278-3488
(323) 363-8345
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-111295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-111295
IBCLC
CA
Enumeration date
11/21/2022
Last updated
11/21/2022
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