Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10968259 | CA |
NPI | 1326322793 |
---|---|
Provider Name | Mrs. Catherine Porter |
First Address | Hanford, CA 93230-9382 |
Second Address | Hanford, CA 93230-9382 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2011 |
Last Update Date | 04/10/2011 |