Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11076584 | CA |
NPI | 1285935601 |
---|---|
Provider Name | Rebecca Lavae Diel |
First Address | Napa, CA 94558-5226 |
Second Address | Napa, CA 94558-5226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2010 |
Last Update Date | 05/09/2013 |