Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-109920 | CA |
NPI | 1265031397 |
---|---|
Provider Name | Mrs. Arabella Hancock |
First Address | Pasadena, CA 91107-1867 |
Second Address | Pasadena, CA 91107-1867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2020 |
Last Update Date | 20/10/2020 |