Individual
MRS. CARRIE RENEE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,IBCLC
Contact information
Practice address
12501 BUBBLING WELL RD, SANTA ANA, CA 92705
(832) 455-3854
Mailing address
12501 BUBBLING WELL RD, SANTA ANA, CA 92705
(832) 455-3854
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
739291
CA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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