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BRANDI NICHOLE LOUGHERY GOODRICH RN IBCLC

Lactation Consultant >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1144737131

Individual Registrant:
 BRANDI NICHOLE LOUGHERY GOODRICH RN IBCLC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
207 AZALEA RD  COLONIAL BEACH, VA 22443 US
Tel: 301-751-6016  Fax: --

Contact information for business:
207 AZALEA RD  COLONIAL BEACH, VA 22443-1220 US
Tel: 301-751-6016  Fax: --

Registration Information:
NPI: 1144737131
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WL0100XNursing Service Providers
Registered Nurse
Lactation Consultant
VAL-118673

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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