Individual
MARICELA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3154 W 132ND ST, HAWTHORNE, CA 90250-5540
(310) 991-5893
Mailing address
3154 W 132ND ST, HAWTHORNE, CA 90250-5540
(310) 991-5893
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309709
CA
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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