Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11020811 |
NPI | 1295073658 |
---|---|
Provider Name | Julia Ahmadinia Amos |
First Address | Milwaukee, WI 53208-2530 |
Second Address | Milwaukee, WI 53208-2530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2013 |
Last Update Date | 19/01/2013 |