Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 323718 | TX |
NPI | 1124657689 |
---|---|
Provider Name | Mrs. Danielle Villanueva |
First Address | Henderson, TX 75654 |
Second Address | Henderson, TX 75654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2020 |
Last Update Date | 06/04/2020 |