Individual
JOYCE FUNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1004 GROVE ST, CHARLOTTESVILLE, VA 22903-3404
(434) 282-2134
Mailing address
1004 GROVE ST, CHARLOTTESVILLE, VA 22903-3404
(434) 282-2134
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001089662
VA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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