Individual
SHARLENE MRACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ICCE, IBCLC
Contact information
Practice address
38750 BIRCH CREEK LN, YUCAIPA, CA 92399-9501
(909) 583-3555
Mailing address
38750 BIRCH CREEK LN, YUCAIPA, CA 92399-9501
(909) 583-3555
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
548159
CA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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