Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1285171322 |
---|---|
Provider Name | Alicia Arino |
First Address | Tucson, AZ 85712-2805 |
Second Address | Tucson, AZ 85712-2805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2017 |
Last Update Date | 27/01/2017 |