Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 318796 |
NPI | 1013532738 |
---|---|
Provider Name | Ceyda Glover |
First Address | Leesburg, FL 34748-6726 |
Second Address | Leesburg, FL 34748-6726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2020 |
Last Update Date | 09/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
318796 | CERTIFIED LACTATION COUNSELOR (01) |