Provider Demographics
NPI:1316603897
Name:STEVES, MARBEL D (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:MARBEL
Middle Name:D
Last Name:STEVES
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 1:5069 SHOOTING STAR RD
Mailing Address - Street 2:
Mailing Address - City:POLLOCK PINES
Mailing Address - State:CA
Mailing Address - Zip Code:95726-9447
Mailing Address - Country:US
Mailing Address - Phone:775-870-3072
Mailing Address - Fax:
Practice Address - Street 1:5069 SHOOTING STAR RD
Practice Address - Street 2:
Practice Address - City:POLLOCK PINES
Practice Address - State:CA
Practice Address - Zip Code:95726-9447
Practice Address - Country:US
Practice Address - Phone:775-870-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-304069174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN