Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | FL |
NPI | 1154713436 |
---|---|
Provider Name | Flaca Alexis-Pierre |
First Address | Boynton Beach, FL 33437-7914 |
Second Address | Greenacres, FL 33415-8992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2015 |
Last Update Date | 30/12/2019 |