Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-110986 |
NPI | 1225681232 |
---|---|
Provider Name | Sarah Maria Mencia Fernandez |
First Address | San Francisco, CA 94117-2909 |
Second Address | San Francisco, CA 94143-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2019 |
Last Update Date | 18/07/2019 |