Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-301918 |
NPI | 1215525233 |
---|---|
Provider Name | Jenna Brown Sundquist |
First Address | Humble, TX 77346-3791 |
Second Address | Humble, TX 77346-3791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2021 |
Last Update Date | 03/05/2021 |