Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 312922 | MI |
NPI | 1093274060 |
---|---|
Provider Name | Ashley Pyrc |
First Address | Linden, MI 48451-9185 |
Second Address | Linden, MI 48451-9185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2019 |
Last Update Date | 18/03/2019 |