Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 197-14329 | CA |
NPI | 1235427642 |
---|---|
Provider Name | Debra Leann Townsend |
First Address | Jamestown, CA 95327-9319 |
Second Address | Jamestown, CA 95327-9319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2011 |
Last Update Date | 19/07/2011 |