Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-26192 | CA |
NPI | 1154988764 |
---|---|
Provider Name | Mrs. Erin Mccarthy Respicio |
First Address | Gilroy, CA 95020-9364 |
Second Address | Gilroy, CA 95020-9364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2019 |
Last Update Date | 20/05/2019 |