Individual
MRS. AMY MUNSELL VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-7765
Mailing address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-100498
VA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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