Individual
SHANNON PAPOULIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3968 OAK ST, FAIRFAX, VA 22030-3728
(703) 966-3748
Mailing address
3968 OAK ST, FAIRFAX, VA 22030-3728
(703) 966-3748
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN1005180
DC
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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