Healthcare Provider Details

I. General information

NPI: 1598632226
Provider Name (Legal Business Name): ACCESSIBLE LACTATION NUTRITION AND DIETETIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5612 N FRESNO ST STE 108
FRESNO CA
93710-6182
US

IV. Provider business mailing address

5612 N FRESNO ST STE 108
FRESNO CA
93710-6182
US

V. Phone/Fax

Practice location:
  • Phone: 559-418-0241
  • Fax: 559-550-0462
Mailing address:
  • Phone: 559-418-0241
  • Fax: 559-550-0462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA SUSANA TOVAR
Title or Position: OWNER DIETITIAN
Credential: RD, IBCLC
Phone: 559-213-6761