Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 323786 | FL |
NPI | 1104427798 |
---|---|
Provider Name | Juliane Velasquez |
First Address | Spring Hill, FL 34608-4341 |
Second Address | Spring Hill, FL 34608-4341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |