Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Sandra Maria Davis Hathaway, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1720350614

Mrs. Sandra Maria Davis Hathaway, IBCLC is a Lactation Consultant (Registered Nurse) in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

705 E Artesia Blvd
Long Beach, CA 90805-1439
Phone: (562) 674-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 11141184 (CA)

Record details

NPI number1720350614
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedFebruary 7, 2012
Last updated in NPPESFebruary 7, 2012

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