Organization
ABC LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTELLE LAURE FRAISSE RN (OWNER)
(415) 335-6576
Entity
Organization
Contact information
Practice address
922 ESMERALDA AVE, SAN FRANCISCO, CA 94110-5257
(415) 335-6576
Mailing address
922 ESMERALDA AVE, SAN FRANCISCO, CA 94110-5257
(415) 200-6510
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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