Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 176B00000X | Midwife | LM256 | CA |
NPI | 1134451263 |
---|---|
Provider Name | Mrs. Jennifer Lynn Remeika |
First Address | Pacific Grove, CA 93950-2457 |
Second Address | Pacific Grove, CA 93950-2457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2010 |
Last Update Date | 30/03/2011 |