Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WAGNER-DAVIS, IBCLC
Active Sole ProprietorMARY WAGNER-DAVIS, IBCLC is a Lactation Consultant healthcare provider located in ROSEVILLE, California. NPI 1649697475 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant · ROSEVILLE, CA
Registration Details
- NPI Number
- 1649697475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2014 (12.40503926655 yrs)
- Last Updated
- Mar 18, 2014
- Licenses
-
MFC23253 (CA)10218838 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
604 FIFTEEN MILE DRROSEVILLE, CA, 956785921Browse CA providers · Browse ZIP 95678
- Phone
- 9162768016
- Primary Specialty
-
Lactation Consultant
174N00000X
- Additional Specialty
- Lactation Consultant
Other Lactation Consultant Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| JEANNE WADE | ICCE, CLC, CCE, CD | 1770918146 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.