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Organization

PROLACTIN LIFE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE WYSONG RN, IBCLC (OWNER)
(240) 360-1205
Entity
Organization

Contact information

Practice address
15012 NOTLEY RD, SILVER SPRING, MD 20905-7437
(240) 360-1205
Mailing address
15012 NOTLEY RD, SILVER SPRING, MD 20905-7437
(240) 360-1205

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary

Other

Enumeration date
10/10/2020
Last updated
10/10/2020
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