Organization
PERFECTLY MADE LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECOLA CUSTIS RN, IBCLC (OWNER)
(757) 709-4444
Entity
Organization
Contact information
Practice address
27457 BEACON RD, MELFA, VA 23410-3367
(757) 709-4444
Mailing address
27457 BEACON RD, MELFA, VA 23410-3367
(757) 709-4444
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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