Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11163249 | VA |
NPI | 1083961866 |
---|---|
Provider Name | Christina M Bowden |
First Address | Nelsonville, OH 45764-1429 |
Second Address | Nelsonville, OH 45764-1429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2012 |
Last Update Date | 10/08/2012 |