Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-88394 | CA |
NPI | 1063959781 |
---|---|
Provider Name | Mrs. Veronica Meza |
First Address | Brea, CA 92821 |
Second Address | Brea, CA 92821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2017 |
Last Update Date | 20/01/2017 |