Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-157004 | CA |
NPI | 1033739669 |
---|---|
Provider Name | Eva Zendejas Vera |
First Address | Concord, CA 94520-4806 |
Second Address | Concord, CA 94520-4806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2020 |
Last Update Date | 23/04/2020 |