Individual
BRENDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, CCE
Contact information
Practice address
1502 BAYTREE TER, MITCHELLVILLE, MD 20721-2384
(301) 336-4726
Mailing address
12530 FAIRWOOD PKWY, SUITE 101-14, BOWIE, MD 20720-6356
(301) 336-4726
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
199-16122
MD
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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