Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1295192474 |
---|---|
Provider Name | Rory Solomon I |
First Address | Las Vegas, NV 89119-2842 |
Second Address | Las Vegas, NV 89119-2842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2016 |
Last Update Date | 20/01/2016 |