Individual
KENDRA DANIELLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3424 ASHMEADE DR, ROANOKE, VA 24018-3702
(540) 293-3543
Mailing address
3424 ASHMEADE DR, ROANOKE, VA 24018-3702
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001244894
VA
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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