Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-49700 | IA |
NPI | 1043649288 |
---|---|
Provider Name | Mrs. Jennifer Pitkin |
First Address | Marion, IA 52302-1418 |
Second Address | Marion, IA 52302-1418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 22/03/2017 |