| NPI | 1508319054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KINCER Owner 602-842-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-96282) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |