Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 19714013 | NC |
NPI | 1013351592 |
---|---|
Provider Name | Mrs. Linda Kelley Huddleston |
First Address | Charlotte, NC 28277-1857 |
Second Address | Charlotte, NC 28277-1857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2013 |
Last Update Date | 26/04/2013 |