Individual
MARIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
105 KINGS CASTLE DR, APEX, NC 27502-5001
(703) 517-7688
Mailing address
105 KINGS CASTLE DR, APEX, NC 27502-5001
(703) 517-7688
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
291024
NC
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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