Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-134380 | MD |
NPI | 1174009609 |
---|---|
Provider Name | Charnise Bridgette Littles |
First Address | Bowie, MD 20720-3560 |
Second Address | Bowie, MD 20720-3560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2018 |
Last Update Date | 18/07/2018 |