Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1154733848 |
---|---|
Provider Name | Rachel Denise O'brien |
First Address | Sudbury, MA 01776-2349 |
Second Address | Sudbury, MA 01776-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2014 |
Last Update Date | 29/05/2014 |