Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-33102 | OH |
NPI | 1275082935 |
---|---|
Provider Name | Joellen M Noble |
First Address | Sardinia, OH 45171-9354 |
Second Address | Sardinia, OH 45171-9354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2016 |
Last Update Date | 22/09/2016 |