Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1245524917 |
---|---|
Provider Name | M. Janet Colson |
First Address | Garden City, KS 67846-9301 |
Second Address | Garden City, KS 67846-5659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2011 |
Last Update Date | 30/05/2011 |