Provider Demographics
NPI:1396104352
Name:CINDYS BREASTFEEDING SOLUTIONS
Entity type:Organization
Organization Name:CINDYS BREASTFEEDING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE, LACTATION CONSULT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEEANN
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:805-501-9397
Mailing Address - Street 1:1988 MORLEY ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3532
Mailing Address - Country:US
Mailing Address - Phone:805-501-9397
Mailing Address - Fax:
Practice Address - Street 1:1988 MORLEY ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3532
Practice Address - Country:US
Practice Address - Phone:805-501-9397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA568276163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty