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Organization

UPPER MATTAPONI INDIAN TRIBE

Active
Other names
Aylett Family Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE TUPPONCE (DIRECTOR)
(804) 347-4109
Entity
Organization

Contact information

Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(801) 631-8362
Mailing address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/01/2021
Last updated
11/17/2023
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