Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-143473 |
NPI | 1235616350 |
---|---|
Provider Name | Karolina Ochoa |
First Address | Moreno Valley, CA 92553-5207 |
Second Address | Moreno Valley, CA 92553-5207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2018 |
Last Update Date | 21/07/2018 |