| NPI | 1770880155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY SUSAN STEVENS Co Owner 559-425-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: WA RN 00155625) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: WA RN 00085501) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: WA RN 00123681) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2013-12-27 |