SearchVirginia163WL0100X

Tiffany Anomaly, IBCLC

NPI 1023763703 · on the registry since 2022 · sole proprietor

Practice

Address
13333 Preuit Pl
Herndon, VA 20170
Phone
(276) 780-2549

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia