Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-12596 | CA |
NPI | 1235440934 |
---|---|
Provider Name | Mrs. Sabrina Freidenfelds |
First Address | Oakland, CA 94611-1961 |
Second Address | Oakland, CA 94610-2009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 22/09/2016 |