# MRS. ALICIA MINGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215512686
- **Gender:** F
- **Credential:** LPN, CCHC, CBS, CBE,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 20160175 | LA | Yes |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | — | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 374J00000X | Doula | — | LA | — |

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 09/20/2021
