Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1609524669 |
| LBN Legal business name | NEW VISION PRENATAL CARE |
| Authorized official | DARRY TUCKER - (PASTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/17/2022 |
| Last updated | 03/17/2022 - About 4 years ago |
| Identifiers | n/a |
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