Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ALPP-313868 |
NPI | 1366936247 |
---|---|
Provider Name | Serena Lynne Kalish |
First Address | Silver Spring, MD 20902-3318 |
Second Address | Silver Spring, MD 20902-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2018 |
Last Update Date | 15/04/2021 |