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Organization
LITTLE AMIGOS PEDIATRIC SERVICES
Active
Organization
LITTLE AMIGOS PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA CUNNINGHAM (ADMINISTRATOR)
(470) 585-1135
Entity
Organization
Contact information
Practice address
7922 SONNY RDG, SAN ANTONIO, TX 78244-2218
(470) 585-1135
(470) 585-1135
Mailing address
4180 NORMAN RD, STONE MOUNTAIN, GA 30083-1758
(404) 798-1943
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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