Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1356975585 |
---|---|
Provider Name | Dr. Ruthanna R Jameson |
First Address | Orland Park, IL 60467-8783 |
Second Address | Orland Park, IL 60467-8783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2020 |
Last Update Date | 26/02/2020 |