Individual
PAULA CONRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6230 DROP OFF RD, POLLOCK PINES, CA 95726-9633
(916) 217-3910
(916) 265-2863
Mailing address
6230 DROP OFF RD, POLLOCK PINES, CA 95726-9633
(916) 217-3910
(916) 265-2863
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-49706
IBCLE
—
Enumeration date
10/22/2020
Last updated
10/22/2020
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