Individual
CLARE HEAPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
508 KEVINMEADE DR, MIDLOTHIAN, VA 23114-6520
(312) 350-2106
Mailing address
508 KEVINMEADE DR, MIDLOTHIAN, VA 23114-6520
(312) 350-2106
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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