Individual
MRS. CAROLYN ANN HOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
26143 GLASGOW DR, SOUTH RIDING, VA 20152-1778
(703) 915-0886
Mailing address
PO BOX 167, LOVETTSVILLE, VA 20180-0167
(703) 915-0886
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-13051
VA
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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