Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1366775439 |
---|---|
Provider Name | Josefina Elizabeth Guevara |
First Address | Lancaster, CA 93535-4548 |
Second Address | Lancaster, CA 93535-4089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 19/03/2021 |