Provider Demographics
NPI:1619187374
Name:WILLS, MARGARET SABO (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:SABO
Last Name:WILLS
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15340 BEAUFORT PL
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4202
Mailing Address - Country:US
Mailing Address - Phone:301-384-8649
Mailing Address - Fax:301-384-8649
Practice Address - Street 1:15340 BEAUFORT PL
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4202
Practice Address - Country:US
Practice Address - Phone:301-384-8649
Practice Address - Fax:301-384-8649
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist