Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-109275 |
NPI | 1083107940 |
---|---|
Provider Name | Josee Forget |
First Address | Pasadena, CA 91101-2711 |
Second Address | Pasadena, CA 91101-2711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2018 |
Last Update Date | 14/06/2018 |