| NPI | 1104993716 |
|---|---|
| Doing Business As | PROVIDENCE LACTATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOYCE KOBAYASHI Dir Revenue Cycle Mgmt Nwsa 425-317-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-22 |