Individual
MRS. LESLIE SMITH BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,IBCLC RLC
Contact information
Practice address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621
(703) 723-7877
Mailing address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621
(703) 723-7877
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
0001172419
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-42144
VA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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