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Krystle Wallace, IBCLC — NPI 1699495325, Bowie, MD | NPI Central

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NPI 1699495325

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Krystle Wallace, IBCLC

NPI 1699495325 · Lactation Consultant (Non-RN) · Bowie, MD

Provider details

NPI number: 1699495325
Entity type: Individual
Primary specialty: Lactation Consultant (Non-RN)Other Service Providers
Credential: IBCLC
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Lactation Consultant (Non-RN)Primary174N00000X
Other Service Providers

Practice location

16002 Philmont Ln

Bowie, MD 20716-1619

Phone: (203) 231-0947

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

16002 Philmont Ln

Bowie, MD 20716-1619

Registry dates

Enumerated: 2022-09-01
Last updated: 2022-09-01
Certified: 2022-09-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.