Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10016799 | CA |
NPI | 1336530120 |
---|---|
Provider Name | Ms. Cynthia Robinson Takeda |
First Address | Canyon Country, CA 91387-3109 |
Second Address | Canyon Country, CA 91387-3109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2015 |
Last Update Date | 15/02/2015 |