Individual
VICKI GOLDBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
544 S GERTRUDA AVE, REDONDO BEACH, CA 90277-4243
(310) 874-2438
Mailing address
544 S GERTRUDA AVE, REDONDO BEACH, CA 90277-4243
(310) 874-2438
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
383956
CA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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