Organization
THE SUGGAH SHACK HEALING FARM & MARKET, LLC
Active
Parent organization
THE SUGGAH SHACK HEALING FARM & MARKET, LLC
Other names
Suggah Shack Midwifery
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SUGGAH SHACK HEALING FARM & MARKET, LLC
Authorized official
JAYVON MUHAMMAD L.M., C.P.M. (OWNER)
(415) 244-7901
Entity
Organization
Contact information
Practice address
19496 RAOUL RD, IOWA, LA 70647-6716
(415) 244-7901
Mailing address
19496 RAOUL RD, IOWA, LA 70647-6716
(415) 244-7901
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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