NPI 1699495325

Krystle Wallace, IBCLC

Practitioner Lactation Consultant (Non-RN) Bowie, MD

Practice location

Address: 16002 Philmont Ln, Bowie, MD 20716-1619
Phone: (203) 231-0947

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

Other Lactation Consultant, Non-RN providers in Maryland →

Registry record

NPI: 1699495325
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2022
Record last updated: 1 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.