Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | CA |
NPI | 1245995588 |
---|---|
Provider Name | Yang Her |
First Address | Sacramento, CA 95825-3299 |
Second Address | Sacramento, CA 95825-3299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |