Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11030803 | CA |
NPI | 1235458019 |
---|---|
Provider Name | Mrs. Jennifer P. Scales |
First Address | Los Altos, CA 94022-1408 |
Second Address | Sunnyvale, CA 94086-6386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2010 |
Last Update Date | 04/03/2020 |