Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1184040768 |
---|---|
Provider Name | Mrs. Celina Gonzales Sisk |
First Address | Cypress, TX 77429-5959 |
Second Address | Cypress, TX 77429-5959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2014 |
Last Update Date | 06/03/2014 |