Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1093190928 |
---|---|
Provider Name | Ashleigh Richmond |
First Address | Pleasant Prairie, WI 53158-3947 |
Second Address | Pleasant Prairie, WI 53158-3947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2015 |
Last Update Date | 13/05/2021 |