Organization
IN THE BEGINNING INCUBATOR AND FUND COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN MONIQUE JOHNSON CEO (CEO)
(804) 685-7079
Entity
Organization
Contact information
Practice address
720 MOOREFIELD PARK DR STE 100, NORTH CHESTERFIELD, VA 23236-3657
(804) 468-8141
Mailing address
720 MOOREFIELD PARK DR STE 100, NORTH CHESTERFIELD, VA 23236-3657
(804) 468-8141
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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