Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 333654 |
NPI | 1376217174 |
---|---|
Provider Name | Maria Varvoutis |
First Address | Webster, TX 77598-2532 |
Second Address | Monterey, CA 93940-6129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2021 |
Last Update Date | 26/01/2022 |