Individual
SHAUNA KENEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Contact information
Practice address
26020 COMPTCHE-UKIAH RD, COMPTCHE, CA 95427
(541) 727-1907
(541) 256-3772
Mailing address
PO BOX 165, COMPTCHE, CA 95427
(541) 727-1907
(541) 256-3772
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-22176
—
176B00000X
Midwife
Primary
LM399
CA
Other
Enumeration date
04/09/2009
Last updated
03/10/2023
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