Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-194102 |
NPI | 1013480227 |
---|---|
Provider Name | Caytlyn Weiland |
First Address | Narvon, PA 17555-9566 |
Second Address | Wayne, PA 19087-1708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2019 |
Last Update Date | 10/01/2019 |