Individual
KATHLEEN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24440 STONE SPRINGS BLVD, DULLES, VA 20166-2247
(571) 349-5230
Mailing address
24440 STONE SPRINGS BLVD, DULLES, VA 20166-2247
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-15362
VA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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