Organization
MORA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIPER PRACH RN, IBCLC (MANAGING MEMBER)
(865) 424-2628
Entity
Organization
Contact information
Practice address
268 S MAGNOLIA ST, MARYVILLE, TN 37803-5792
(865) 424-2628
Mailing address
268 S MAGNOLIA ST, MARYVILLE, TN 37803-5792
(865) 424-2628
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/10/2024
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