Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-104480 | VA |
NPI | 1194237859 |
---|---|
Provider Name | Virginia Jo Krula |
First Address | San Diego, CA 92128-5187 |
Second Address | San Diego, CA 92128-5187 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2017 |
Last Update Date | 02/11/2017 |