Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11123385 | CA |
NPI | 1225303639 |
---|---|
Provider Name | Cynthia L Hartshorn |
First Address | Escondido, CA 92025-2209 |
Second Address | Escondido, CA 92025-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 19/03/2012 |