Individual provider · Type 1 NPI
Shannon Roussos, IBCLC
Lactation Consultant (Registered Nurse) · Sacramento, CA
NPI number
1740068758
Active
Practice location
2479 Mabry Dr
Sacramento, CA 95835-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 675696 (CA) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1740068758
Shannon Roussos, IBCLC's National Provider Identifier is 1740068758, issued on Sep 20, 2023. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Sacramento, CA. The record was last updated on Sep 20, 2023.