Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-303539 | NJ |
NPI | 1346914025 |
---|---|
Provider Name | Alana Dambrot |
First Address | Chester, NJ 07930-3020 |
Second Address | Chester, NJ 07930-3020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2021 |
Last Update Date | 05/08/2021 |