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Individual

DANIKA LEE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC, RLC

Contact information

Practice address
308 COMERTOWN RD, SHENANDOAH, VA 22849-4009
(540) 705-7568
Mailing address
21509 RUNIONS CREEK RD, BROADWAY, VA 22815-2002

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-131279
VA
176B00000X
Midwife
Primary
0129-000155
VA

Other

Enumeration date
01/01/2018
Last updated
05/04/2020
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