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Organization

SWEET TOOTH ENTERPRISE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE WILSON (REGISTERED AGENT)
(757) 478-8599
Entity
Organization

Contact information

Practice address
801 LYM DR, VIRGINIA BEACH, VA 23464-1694
(757) 478-8599
Mailing address
801 LYM DR, VIRGINIA BEACH, VA 23464-1694
(757) 478-8599

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/21/2022
Last updated
06/27/2022
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