Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ALPP-314702 | VA |
NPI | 1083930630 |
---|---|
Provider Name | Mrs. Sara Krivanec |
First Address | Richmond, VA 23230-4532 |
Second Address | Richmond, VA 23222-4906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 08/04/2021 |