SearchCalifornia174N00000X

Taryn Mickus, IBCLC

NPI 1609152990 · on the registry since 2011 · sole proprietor

Practice

Address
452 Taylor Ave
Alameda, CA 94501
Phone
(510) 999-5055

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California