Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-83668 | CA |
NPI | 1073970315 |
---|---|
Provider Name | Ms. Darcy Teresa Wronkiewicz |
First Address | Ventura, CA 93003-2502 |
Second Address | Ventura, CA 93003-2502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2016 |
Last Update Date | 18/01/2016 |