Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ALLP-328340 | MA |
NPI | 1003486176 |
---|---|
Provider Name | Frances Caroline Fridell |
First Address | Camden, AR 71701-4699 |
Second Address | Camden, AR 71701-4699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2021 |
Last Update Date | 30/06/2021 |