Organization
MELANATED MOMMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLICENT HINES (OWNER)
(252) 469-5733
Entity
Organization
Contact information
Practice address
2813 RIDGECREST DR, ROCKY MOUNT, NC 27803-1355
(262) 469-5733
Mailing address
2813 RIDGECREST DR, ROCKY MOUNT, NC 27803-1355
(252) 469-5733
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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