Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-49908 | CA |
NPI | 1255994547 |
---|---|
Provider Name | Heather Anne Camarena |
First Address | Camarillo, CA 93012-4048 |
Second Address | Oxnard, CA 93036-8215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2019 |
Last Update Date | 22/04/2019 |