| NPI | 1336625854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN POTTER Co Owner 240-329-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 305864) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |