Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 19714020 | VA |
NPI | 1033553326 |
---|---|
Provider Name | Zanenge F Ifan |
First Address | Hillsborough, NJ 08844-1619 |
Second Address | Hillsborough, NJ 08844-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 17/04/2013 |