Individual
MARJORIE ANNE MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1130 WEST AVE, RICHMOND, VA 23220-3720
(703) 973-1473
Mailing address
1130 WEST AVE, RICHMOND, VA 23220-3720
(703) 973-1473
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001081561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WLO100X
LACTATION CONSULTANT
—
Enumeration date
05/24/2018
Last updated
05/24/2018
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