MS. KATIE SUE DAMOTA IBCLC, MAS
NPI 1659527216
Specialist in Grass Valley, CA
Active since August 14, 2008
About Ms. Katie Sue Damota Ibclc, Mas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATIE SUE DAMOTA IBCLC, MAS (NPI 1659527216) is an individual specialist in Grass Valley, California and active in the NPI registry since August 2008.
NPPES Registry Identity
NPI1659527216
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. KATIE SUE DAMOTACredential: IBCLC, MAS
Location Address107 WEST MAIN STREET, #BGrass Valley, CA 95945
Mailing Address107 West Main Street, #bGrass Valley, CA 95945 · (530) 637-8411
Phone(530) 637-8411
Sole ProprietorYes
Enumeration DateAugust 14, 2008
Last NPPES UpdateApril 21, 2015
✔ NPI 1659527216 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
107 WEST MAIN STREET, Grass Valley, CA 95945
Other Names 1
Former Name (1)Ms. Katie Sue Bowman
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659527216, enumerated as an "individual" on August 14, 2008.
The provider is located at 107 WEST MAIN STREET #B GRASS VALLEY, CA 95945 and the phone number is (530) 637-8411.
Specialist with taxonomy code 174400000X.
