Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 280550 | MA |
NPI | 1144788787 |
---|---|
Provider Name | Margo Jones |
First Address | Brookline, MA 02446-5610 |
Second Address | Brookline, MA 02446-5610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2019 |
Last Update Date | 02/03/2019 |