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Organization
PEEPING MOMS ULTRASOUND BOUTIQUE LLC
Active
Organization
PEEPING MOMS ULTRASOUND BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STORMY GOODWIN RT(S), RVT, RDMS (OWNER)
(813) 647-9099
Entity
Organization
Contact information
Practice address
6320 US 301 S, RIVERVIEW, FL 33578-3829
(813) 647-9099
Mailing address
6320 US 301 S, RIVERVIEW, FL 33578-3829
(813) 647-9099
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/04/2022
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