Individual provider · Type 1 NPI

Tanecia Favors, RN, CLC

Lactation Consultant (Registered Nurse) · San Diego, CA

NPI number 1952019747 Active

Practice location

10144 Epperson Way
San Diego, CA 92124-3212

Call (619) 630-5684 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95265162 (CA)
Registered Nurse 163W00000X937545 (TX)
Lactation Consultant (Non-RN) 174N00000XNone listed
Lactation Consultant (Registered Nurse) Primary 163WL0100X937545 (TX)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1952019747

Tanecia Favors, RN, CLC's National Provider Identifier is 1952019747, issued on Nov 10, 2022. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in San Diego, CA. The record was last updated on Nov 13, 2023.