Individual
TRINA AMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1120 FOREST AVE # 181, PACIFIC GROVE, CA 93950-5105
(831) 229-1114
Mailing address
1120 FOREST AVE # 181, PACIFIC GROVE, CA 93950-5105
(831) 229-1114
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
193-11069
CA
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN442767
CA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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