Provider Demographics
NPI:1518779263
Name:POLLEY, NAOMI (LACTATION CONSULTANT)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:POLLEY
Suffix:
Gender:F
Credentials:LACTATION CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 CELESTIAL WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-7505
Mailing Address - Country:US
Mailing Address - Phone:925-989-9030
Mailing Address - Fax:
Practice Address - Street 1:5405 CELESTIAL WAY
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7505
Practice Address - Country:US
Practice Address - Phone:925-989-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-307749174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN