Organization
EDUCATED MOMMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA FONDER RN IBCLC LCCE (TREASURER)
(605) 215-1889
Entity
Organization
Contact information
Practice address
207 W 37TH ST, SIOUX FALLS, SD 57105-5703
(605) 215-1889
Mailing address
207 W 37TH ST, SIOUX FALLS, SD 57105-5703
(605) 215-1889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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