NPI 1801495296

Candyse Anne Matassa, IBCLC

Practitioner Lactation Consultant (Non-RN) Baton Rouge, LA

Practice location

Address: 5848 Menlo Dr, Baton Rouge, LA 70808-5047
Phone: (225) 341-2411
Mailing address: 18201 Pine Ridge Dr, Prairieville, LA 70769-3473

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-108612 (LA)

Other Lactation Consultant, Non-RN providers in Louisiana →

Registry record

NPI: 1801495296
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2020
Record last updated: 18 Oct 2020

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.