Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-305877 |
NPI | 1134889397 |
---|---|
Provider Name | Ronisha Leshae Conway |
First Address | Kansas City, MO 64132-1202 |
Second Address | Kansas City, MO 64132-1202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2021 |
Last Update Date | 29/12/2021 |