Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11129635 | PA |
NPI | 1114288602 |
---|---|
Provider Name | Mrs. Jillian Nicole Nemeth |
First Address | Pottstown, PA 19465-6601 |
Second Address | Malvern, PA 19355-2516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 31/05/2012 |