Individual
SUSAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5195
Mailing address
3275 HYDE ST, OAKLAND, CA 94601-2610
(510) 388-8742
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11177472
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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