Organization
BESTFEEDING LACTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KUCHARCZK CPNP (OWNER)
(757) 944-1234
Entity
Organization
Contact information
Practice address
1533 BLUE RIDGE RD, CHESAPEAKE, VA 23322-1703
(757) 944-1234
Mailing address
1533 BLUE RIDGE RD, CHESAPEAKE, VA 23322-1703
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024142347
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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