Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 157759 | CA |
NPI | 1316594930 |
---|---|
Provider Name | Robyn Jones |
First Address | Cameron Park, CA 95682-8955 |
Second Address | Cameron Park, CA 95682-8955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2019 |
Last Update Date | 19/08/2019 |