Healthcare Provider Details

I. General information

NPI: 1750162632
Provider Name (Legal Business Name): FIRST CHOICE LACTATION CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15342 TOYA LN
EL CAJON CA
92021-2548
US

IV. Provider business mailing address

15342 TOYA LN
EL CAJON CA
92021-2548
US

V. Phone/Fax

Practice location:
  • Phone: 619-922-2199
  • Fax:
Mailing address:
  • Phone: 619-922-2199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: DEE'ANNA ROMERO
Title or Position: LACTATION CONSULTANT- RN
Credential:
Phone: 619-922-2199