Individual
MS. SYREETA D HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
502 N 30TH ST, RICHMOND, VA 23223-7409
(804) 306-6605
Mailing address
502 N 30TH ST, RICHMOND, VA 23223-7409
(804) 306-6605
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-14578
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174N00000X
N/A
—
Enumeration date
09/25/2017
Last updated
07/21/2022
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