Individual
JACQUELINE ROUSE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, RLC
Contact information
Practice address
2389 HAZELWOOD CT, WALDORF, MD 20601-4539
(202) 415-2558
Mailing address
2389 HAZELWOOD CT, WALDORF, MD 20601-4539
(202) 415-2558
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L31823
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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