Individual
MRS. JESSICA SYPOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
17376 TEDLER CIR, ROUND HILL, VA 20141-2633
(972) 979-3015
Mailing address
17376 TEDLER CIR, ROUND HILL, VA 20141-2633
(972) 979-3015
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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