Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1245479047 |
---|---|
Provider Name | Joanne Demarchi |
First Address | Mission Viejo, CA 92692-4817 |
Second Address | Mission Viejo, CA 92692-4817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 07/11/2012 |