Organization
NCLARK LLC
Active
Other names
Northern Virginia Lactation Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J CLARK IBCLC (DIRECTOR)
(703) 425-2229
Entity
Organization
Contact information
Practice address
4250 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4214
(703) 425-2229
Mailing address
4250 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4214
(703) 425-2229
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10--F001
VA
Other
Enumeration date
09/15/2014
Last updated
07/21/2022
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