Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-136369 | NC |
NPI | 1124510516 |
---|---|
Provider Name | Clair F Ashburn |
First Address | Raleigh, NC 27610-3860 |
Second Address | Raleigh, NC 27610-3860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2018 |
Last Update Date | 01/06/2018 |