Individual
VIRGINIA JO KRULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
12453 HEATHERTON CT APT 300, SAN DIEGO, CA 92128-5187
(858) 335-1717
Mailing address
12453 HEATHERTON CT APT 300, SAN DIEGO, CA 92128-5187
(858) 335-1717
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-104480
VA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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