Individual
NICHELLE BRITTANY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
840 JUNIPER CRES STE 110, CHESAPEAKE, VA 23320-2628
(240) 605-1611
Mailing address
1029 HILL ST, CHESAPEAKE, VA 23324-1124
(240) 605-1611
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/25/2019
Last updated
08/22/2022
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