Individual
MARGARET QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
13610 PENNSBORO DR, CHANTILLY, VA 20151-2718
(703) 517-6158
Mailing address
13610 PENNSBORO DR, CHANTILLY, VA 20151-2718
(703) 517-6158
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-68108
VA
163WM0102X
Maternal Newborn Registered Nurse
0001231579
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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