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Organization

TLC FOR MOMS 2 B,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE LYNN DERWART-REH CPM (MIDWIFE)
(717) 698-8524
Entity
Organization

Contact information

Practice address
2 RIDGE AVE, HANOVER, PA 17331-2040
(717) 698-8524
(186) 677-4927
Mailing address
2 RIDGE AVE, HANOVER, PA 17331-2040
(717) 698-8524
(186) 677-4927

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
14060007
PA

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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