Kavisa Wood, IBCLC
Lactation Consultant, Non-RN in Sacramento, CA. Individual provider (NPI-1).
NPI number1457036675
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1457036675
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kavisa Wood
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2023
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | – | – | Yes |
Practice location
5108 Archcrest WaySacramento, CA 95835-1641
Phone 916-572-4433
Mailing address
5108 Archcrest WaySacramento, CA 95835-1641
Phone 916-572-4433
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