Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | CA |
NPI | 1023451275 |
---|---|
Provider Name | Elaine Skaggs |
First Address | Torrance, CA 90505-2498 |
Second Address | Torrance, CA 90505-2498 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 08/04/2013 |