Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1083025043 |
---|---|
Provider Name | Rachel Carbonneau |
First Address | Rockville, MD 20852-3651 |
Second Address | Rockville, MD 20852-3651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 12/11/2021 |