Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-46180 |
NPI | 1033658612 |
---|---|
Provider Name | Cathrine Jones |
First Address | Fort Riley, KS 66442-4030 |
Second Address | Fort Riley, KS 66442-4030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2017 |
Last Update Date | 16/02/2017 |