Individual
SHANNA R REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1764 BUFFALO RIDGE RD, FERRUM, VA 24088-3230
(540) 238-4045
Mailing address
1764 BUFFALO RIDGE RD, FERRUM, VA 24088-3230
(540) 238-4045
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309868
VA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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