Provider Demographics
NPI:1033739669
Name:VERA, EVA ZENDEJAS (IBCLC)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:ZENDEJAS
Last Name:VERA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 STANWELL CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4806
Mailing Address - Country:US
Mailing Address - Phone:925-646-5146
Mailing Address - Fax:925-646-5029
Practice Address - Street 1:2355 STANWELL CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4806
Practice Address - Country:US
Practice Address - Phone:925-646-5146
Practice Address - Fax:925-646-5029
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-157004174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN