Individual
JENNIFER LEILANI CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7241 JILLSPRING CT, SPRINGFIELD, VA 22152-3609
(703) 629-1601
Mailing address
7241 JILLSPRING CT, SPRINGFIELD, VA 22152-3609
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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