| Full Name | |
|---|---|
| Speciality | Doula |
| Location | 11 Owen Ave, Lansdowne, Pennsylvania |
| Authorized Official Name and Position | Theresa Pettaway (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6105535479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11 Owen Ave Lansdowne PA 19050-1915 Ph: (610) 553-5479 | 11 Owen Ave Lansdowne PA 19050 Ph: (610) 553-5479 |
| NPI Number | 1154857589 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154857589 | NPI | - | NPPES |
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