Individual
MRS. TARA JO MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
318 E FAIRFAX ST, BERRYVILLE, VA 22611-1100
(814) 414-6811
(814) 414-6811
Mailing address
318 E FAIRFAX ST, BERRYVILLE, VA 22611-1100
(814) 414-6811
(814) 414-6811
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306132
VA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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