Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ALPP-200371 | CO |
NPI | 1205258043 |
---|---|
Provider Name | Valerie Sorensen Miller |
First Address | Castle Rock, CO 80108 |
Second Address | Castle Rock, CO 80108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2014 |
Last Update Date | 14/01/2014 |