Healthcare Provider Details

I. General information

NPI: 1336031962
Provider Name (Legal Business Name): THE LATCH LOFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PERSIFER ST # 7
FOLSOM CA
95630-3018
US

IV. Provider business mailing address

1014 RILEY ST STE 7
FOLSOM CA
95630-3264
US

V. Phone/Fax

Practice location:
  • Phone: 916-586-8678
  • Fax:
Mailing address:
  • Phone: 916-586-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA THOMAS
Title or Position: CEO
Credential: IBCLC
Phone: 916-586-8678