Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11025535 | WA |
Y | 176B00000X | Midwife | DEM-LD-050361 | OR |
NPI | 1245365386 |
---|---|
Provider Name | Ms. Marilyn Kay Milestone |
First Address | Ridgefield, WA 98642 |
Second Address | Ridgefield, WA 98642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 01/04/2011 |