Corinne Marie Custodio

Individual provider Lactation Consultant (Registered Nurse) · NPI 1346705126

Corinne Marie Custodio is a Lactation Consultant (Registered Nurse) in Mill Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in: CA
In the registry since: 2019

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Practice location Address checks out

115 Stadium Ave
Mill Valley, CA 94941-3506
Phone: (415) 535-4242

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Specialties & licences

Lactation Consultant (Registered Nurse) (primary)	Taxonomy 163WL0100X · Licence 841695 (CA)

Record details

NPI number	1346705126
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	February 5, 2019
Last updated in NPPES	February 5, 2019
Mailing address	115 Stadium Ave, Mill Valley, CA 94941-3506