Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L19860 | VA |
NPI | 1013466762 |
---|---|
Provider Name | Patricia Paulina Erices Ocampo |
First Address | Littleton, CO 80122-2820 |
Second Address | Littleton, CO 80122-2820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2016 |
Last Update Date | 22/09/2016 |