Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1225584865 |
---|---|
Provider Name | Ashley Lynn Barrett |
First Address | Mustang, OK 73099 |
Second Address | Mustang, OK 73099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 28/12/2017 |