Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-304069 | CA |
NPI | 1316603897 |
---|---|
Provider Name | Mrs. Marbel D Steves |
First Address | Pollock Pines, CA 95726-9447 |
Second Address | Pollock Pines, CA 95726-9447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2021 |
Last Update Date | 09/11/2021 |