Individual
KARLY PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RNC-OB, IBCLC
Contact information
Practice address
18099 VIA SERENA RD, SONORA, CA 95370-8731
(209) 454-1140
Mailing address
18099 VIA SERENA RD, SONORA, CA 95370-8731
(209) 454-1140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95053475
CA
163WL0100X
Lactation Consultant (Registered Nurse)
L-309124
CA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
02/28/2025
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