Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 602050961 | WA |
NPI | 1366723298 |
---|---|
Provider Name | Mrs. Marianne Elizabeth Ames |
First Address | Snohomish, WI 98290 |
Second Address | Snohomish, WA 98290-2070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 06/09/2011 |