Individual
SAMANTHA ANDERSEN HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4402
Mailing address
9813 WINEBERRY RD, MARSHALL, VA 20115-2514
(540) 878-6040
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001186368
VA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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