Individual
MS. MELISSA ANNE KOCHUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N, I.B.C.L.C
Contact information
Practice address
12608 LAKE NORMANDY LN, FAIRFAX, VA 22030-7251
(516) 993-3094
Mailing address
12608 LAKE NORMANDY LN, FAIRFAX, VA 22030-7251
(516) 993-3094
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
617102-1
NY
163WL0100X
Lactation Consultant (Registered Nurse)
6171021
NY
Other
Enumeration date
07/14/2014
Last updated
12/17/2024
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