IndividualActive
Marylou Sandoval, IBCLC
NPI 1073972915 · Lactation Consultant (Non-RN) · Phoenix, AZ
Provider details
- NPI number
- 1073972915
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-29114 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
3536 W San Juan Ave
Phoenix, AZ 85019-4514
Phone: (623) 980-0347
Approximate (ZIP-level) locationGet directions
Mailing address
3536 W San Juan Ave
Phoenix, AZ 85019-4514
Registry dates
- Enumerated
- 2016-02-21
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.