Hampton Roads Lactation, LLC
Registered Nurse, Lactation Consultant in Suffolk, VA. Organization (NPI-2).
NPI number1669977583
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1669977583
- Entity type
- Organization (NPI-2)
- Legal business name
- Hampton Roads Lactation, LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2018
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | 1257572 | VA | Yes |
Practice location
5106 W Creek CtSuffolk, VA 23435-3523
Phone 757-598-4818 · Fax 757-610-9395
Mailing address
5106 W Creek CtSuffolk, VA 23435-3523
Phone 757-598-4818 · Fax 757-610-9395
Authorized official
Jennifer Tobola
Lactation Consultant
7575984818
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