Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1346881406 |
---|---|
Provider Name | Alison E Reynolds |
First Address | Grand Junction, CO 81507-1336 |
Second Address | Grand Junction, CO 81507-1336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2019 |
Last Update Date | 30/09/2019 |