Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10948640 | CA |
NPI | 1275826299 |
---|---|
Provider Name | Sharon Castaneda Watkins |
First Address | San Francisco, CA 94131-3313 |
Second Address | San Francisco, CA 94131-3313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 24/05/2011 |