NPI | 1982490751 |
---|---|
Former Legal Business Name | MADE TO MOTHER LACTATION, LLC |
Entity Type | Organization |
Authorized Contact | SARA WILSON Owner 919-272-4776 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-04-17 |