Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1346730181 |
---|---|
Provider Name | Juana Maria Rodriguez |
First Address | Cape Coral, FL 33914-6314 |
Second Address | Cape Coral, FL 33914-6314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2018 |
Last Update Date | 17/05/2018 |