Individual
KIMBERLY JOY WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN,IBCLC
Contact information
Practice address
19500 SANDRIDGE WAY STE 110, LEESBURG, VA 20176-3689
(703) 723-7337
Mailing address
42629 SMOKEY EMBERS TER, DULLES, VA 20166-2604
(571) 276-0141
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-96892
VA
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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