Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ALPP-337038 | CO |
NPI | 1275295065 |
---|---|
Provider Name | Angela C Das |
First Address | Fort Collins, CO 80525-9696 |
Second Address | Fort Collins, CO 80525-9696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2021 |
Last Update Date | 08/10/2021 |