Individual
RHONDA GAYLE CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, RLC
Contact information
Practice address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621
Mailing address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
0001221796
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-49746
VA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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