Organization
HOLISTIC MOTHERING LLC
Active
Organization
HOLISTIC MOTHERING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA BOSIK EDDY M.A., IBCLC (LACTATION CONSULTANT)
(703) 854-1900
Entity
Organization
Contact information
Practice address
3931 LINCOLNSHIRE ST, ANNANDALE, VA 22003-2519
(703) 854-1900
Mailing address
3931 LINCOLNSHIRE ST, ANNANDALE, VA 22003-2519
(703) 854-1900
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11194842
VA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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