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
(804) 769-2015
Mailing address
13476 KING WILLIAM RD, KING WILLIAM, VA 23086-3401
(804) 769-0041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
11/17/2023
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