Organization
MERCY MIDWIFERY & WOMEN'S HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJAH D FULLER CNM (OWNER)
(757) 362-1548
Entity
Organization
Contact information
Practice address
1520 TERRA VISTA DR APT 651, CHESAPEAKE, VA 23320-4892
(757) 362-1548
Mailing address
1520 TERRA VISTA DR APT 651, CHESAPEAKE, VA 23320-4892
(757) 362-1548
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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