Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-302722 | CO |
NPI | 1245906924 |
---|---|
Provider Name | Hannah Childs |
First Address | Colorado Springs, CO 80926-9506 |
Second Address | Colorado Springs, CO 80926-9506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2021 |
Last Update Date | 21/08/2021 |