Individual
JAMIE SHANAFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2415 AVENIDA MASTIL, SAN CLEMENTE, CA 92673-3636
(949) 370-2114
Mailing address
2415 AVENIDA MASTIL, SAN CLEMENTE, CA 92673-3636
(949) 370-2114
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-49516
CA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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