Search › Virginia › 163WL0100X

Decola Custis, BSN, IBCLC

NPI 1962235804 · on the registry since 2024 · sole proprietor

Practice

Address
27457 Beacon Rd
Melfa, VA 23410
Phone
(757) 709-4444
Organisation at this address
Perfectly Made Lactation, Llc
Inferred from a shared address, not stated in the registry.

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
2024-08-26

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