Individual provider · Type 1 NPI
Marigrace Vandeventer
Lactation Consultant (Registered Nurse) · Conway, SC
NPI number
1891218939
Active
Practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Fax (843) 347-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 226954 (SC) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1891218939
Marigrace Vandeventer's National Provider Identifier is 1891218939, issued on Jul 20, 2017. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Conway, SC. The record was last updated on Jul 20, 2017.