Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 108-98238 | CA |
NPI | 1326103037 |
---|---|
Provider Name | Wendi M Myers |
First Address | Esparto, CA 95627-0207 |
Second Address | Vacaville, CA 95688-3931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 21/01/2012 |