Provider Demographics
NPI:1811407984
Name:TREJO, ARACELI J (IBCLC)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:J
Last Name:TREJO
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:925-646-5534
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:925-646-5534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-35747174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN