Individual
YVONNE BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC, CBE, CMT,
Contact information
Practice address
131 CORIANDER AVE, MORGAN HILL, CA 95037-2536
(831) 636-6781
Mailing address
131 CORIANDER AVE, MORGAN HILL, CA 95037-2536
(831) 636-6781
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
197-13766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197-13766
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
CA
Enumeration date
06/17/2011
Last updated
06/17/2011
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