Individual
MRS. SHARON ANN GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
10727 PARKGATE DR, NOKESVILLE, VA 20181-2921
(703) 927-4406
Mailing address
10727 PARKGATE DR, NOKESVILLE, VA 20181-2921
(703) 927-4406
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19210911
VA
174N00000X
Lactation Consultant (Non-RN)
L-17076
VA
Other
Enumeration date
10/29/2014
Last updated
09/16/2024
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