Individual
JOANNA BOSIK EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, IBCLC
Contact information
Practice address
3931 LINCOLNSHIRE STREET, ANNANDALE, VA 22003
(703) 854-1900
Mailing address
3931 LINCOLNSHIRE STREET, ANNANDALE, VA 22003
(703) 854-1900
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11194842
VA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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