Provider Demographics
NPI:1336975218
Name:FERRER, JANICE (IBCLC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27515 MANGROVE ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3018
Mailing Address - Country:US
Mailing Address - Phone:619-419-8437
Mailing Address - Fax:
Practice Address - Street 1:27515 MANGROVE ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-3018
Practice Address - Country:US
Practice Address - Phone:619-419-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305696174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN