The Fruit Of The Womb Women S Health Center LLC
Clinic/Center, Medical Specialty in Hazelwood, MO. Organization (NPI-2).
NPI number1780986331
StatusActive
Last updated in NPPESMar 5, 2011
Details
- NPI
- 1780986331
- Entity type
- Organization (NPI-2)
- Legal business name
- The Fruit Of The Womb Women S Health Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2010
- Last updated
- Mar 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
637 Dunn Rd Ste 143Hazelwood, MO 63042-1755
Phone 314-724-4354
Mailing address
12519 Questover CtCreve Coeur, MO 63141-6385
Phone 314-724-4354
Authorized official
Tanika Cherai McClary
Women'S Health Nurse Practitioner
3147244354
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