NPI 1003630666

Diana Stephanie Clark, IBCLC

Practitioner Lactation Consultant (Non-RN) Azusa, CA

Practice location

Address: 28 Mountain Laurel Way, Azusa, CA 91702-6264
Phone: (626) 222-4614

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 11137880 (CA)

Other Lactation Consultant, Non-RN providers in California →

Registry record

NPI: 1003630666
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2024
Record last updated: 11 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.