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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEOPHILINE MARY EBIASAH

Active

THEOPHILINE MARY EBIASAH is a Lactation Consultant Nurse healthcare provider located in MANASSAS, Virginia. NPI 1679089361 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · MANASSAS, VA

Registration Details

NPI Number
1679089361
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2017 (8.6950125991351 yrs)
Last Updated
Dec 18, 2017
License
0001174655 (VA)

Practice Information

Address
10701 ROSEMARY DR
MANASSAS, VA, 201097282
Browse VA providers · Browse ZIP 20109
Phone
7032573000
Fax
7032573057
Primary Specialty
Lactation Consultant Nurse
163WL0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.