Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1063011518 |
---|---|
Provider Name | Mrs. Chanelle D Andrews |
First Address | Laurel Springs, NJ 08021-2856 |
Second Address | Laurel Springs, NJ 08021-2856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2020 |
Last Update Date | 25/10/2020 |