Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 324440 | FL |
NPI | 1093398505 |
---|---|
Provider Name | Mrs. Jenniffer Alexandra Meza Jimenez |
First Address | West Palm Beach, FL 33401-5107 |
Second Address | Lantana, FL 33462-1459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2021 |
Last Update Date | 26/08/2021 |