Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1093351702 |
---|---|
Provider Name | Jenine Michele Hamilton |
First Address | Seattle, WA 98115-6851 |
Second Address | Seattle, WA 98103-6576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2019 |
Last Update Date | 13/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-306188 | IBCLE (01) | WA |