Individual
HILARY MOXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 FERN OAK CT, MANASSAS, VA 20112-3275
(703) 595-8614
Mailing address
7771 FERN OAK CT, MANASSAS, VA 20112-3275
(703) 595-8614
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-88462
VA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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