| Love The Tree Of Life Clinic | |
|
2016 25th St Newport News VA 23607-5512 | |
| (757) 726-7135 | |
| Not Available |
| Full Name | Love The Tree Of Life Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2016 25th St, Newport News, Virginia |
| Authorized Official Name and Position | Carmen I. Johnson-martell Dnp, Fnp-d (PRESIDENT, FOUNDER, CLINICAN) |
| Authorized Official Contact | 7579155781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love The Tree Of Life Clinic 2016 25th St Newport News VA 23607-5512 Ph: (757) 915-5781 | Love The Tree Of Life Clinic 2016 25th St Newport News VA 23607-5512 Ph: (757) 726-7135 |
| NPI Number | 1528844693 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528844693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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