Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-141816 | CA |
NPI | 1063059087 |
---|---|
Provider Name | Hilda Maria Guerrero |
First Address | Chatsworth, CA 91311-7479 |
Second Address | Chatsworth, CA 91311-7479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2019 |
Last Update Date | 09/12/2019 |