Organization
MANIFESTING MAMA - BIRTH, LACTATION AND BEYOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN O'NEILL (OWNER)
(757) 567-2011
Entity
Organization
Contact information
Practice address
1000 TRESTMAN AVE, VIRGINIA BEACH, VA 23464-1740
(757) 567-2011
Mailing address
1000 TRESTMAN AVE, VIRGINIA BEACH, VA 23464-1740
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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