Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-11237 |
NPI | 1003400672 |
---|---|
Provider Name | Erika Garcia |
First Address | El Paso, TX 79911-3000 |
Second Address | El Paso, TX 79911-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2021 |
Last Update Date | 24/02/2021 |