Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ALPP-208663 | NC |
NPI | 1154719433 |
---|---|
Provider Name | Ms. Shannon Colleen Huffman |
First Address | Burlington, NC 27217-3706 |
Second Address | Burlington, NC 27217-3706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2015 |
Last Update Date | 08/01/2015 |