Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11181708 | CA |
NPI | 1235477316 |
---|---|
Provider Name | Linse Noel Williams |
First Address | Camarillo, CA 93012-5203 |
Second Address | Camarillo, CA 93012-5203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2013 |
Last Update Date | 23/01/2013 |