Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10882026 | TX |
NPI | 1386086163 |
---|---|
Provider Name | Nicole Hoff |
First Address | Harlingen, TX 78552-2255 |
Second Address | Harlingen, TX 78552-2255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2013 |
Last Update Date | 23/07/2013 |