Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11081591 | VA |
NPI | 1265733273 |
---|---|
Provider Name | Isabel Caldera Nelson |
First Address | Bremerton, WA 98312-1197 |
Second Address | Bremerton, WA 98312-1197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2010 |
Last Update Date | 22/10/2012 |