Organization
LITTLE STAR BIRTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R BANKS CPM, LM (OWNER)
(571) 438-3224
Entity
Organization
Contact information
Practice address
10305 YORKTOWN CT, GREAT FALLS, VA 22066-4217
(571) 438-3224
Mailing address
21010 SOUTHBANK ST # 2050, STERLING, VA 20165-7227
(571) 438-3224
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000102
VA
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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