Individual
BRENDA LEE KNIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
12928 CREWS CT, BRISTOW, VA 20136-3112
(703) 975-4606
Mailing address
12928 CREWS CT, BRISTOW, VA 20136-3112
(703) 975-4606
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001246381
VA
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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