Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11080579 | CA |
NPI | 1134542079 |
---|---|
Provider Name | Christine Natalie Majocha |
First Address | Vista, CA 92084 |
Second Address | Vista, CA 92084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2014 |
Last Update Date | 21/07/2016 |