Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-17398 | TX |
NPI | 1346628112 |
---|---|
Provider Name | Cecilia Hill |
First Address | Corpus Christi, TX 78404-2428 |
Second Address | Corpus Christi, TX 78404-2428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2015 |
Last Update Date | 01/02/2017 |