Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1093087173 |
---|---|
Provider Name | Mrs. Cynthia Marie Cecil |
First Address | Spokane Valley, WA 99216-0539 |
Second Address | Spokane Valley, WA 99216-0539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2012 |
Last Update Date | 03/02/2012 |