Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1003573056 |
---|---|
Provider Name | Yodit Girma Jewett |
First Address | Snohomish, WA 98296-5223 |
Second Address | Snohomish, WA 98296-5223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2021 |
Last Update Date | 24/11/2021 |