Marisa J. Smith, IBCLC

NPI #1184833451 in Burke, Virginia

Provider Information

NPI Number: 1184833451
Entity Type: Individual
Name: Marisa J. Smith, IBCLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: IBCLC
Enumeration Date: May 22, 2007
Last Updated: May 8, 2013

Practice Location

Address: 9717 WALTHORNE CT
City: Burke
State: Virginia
ZIP Code: 22015-4044
Phone: (703) 323-7301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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