SearchCalifornia163WL0100X

Sandra Davis Hathaway, IBCLC

NPI 1720350614 · on the registry since 2012 · sole proprietor

Practice

Address
705 E Artesia Blvd
Long Beach, CA 90805
Phone
(562) 674-8500

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-07

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