Organization
MOTHER NATURE PRENATAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAKIMA SONYETTA KIMBROUGH (OWNER)
(414) 248-8680
Entity
Organization
Contact information
Practice address
1112 W VINE ST, MILWAUKEE, WI 53205-1739
(414) 248-8680
Mailing address
1112 W VINE ST, MILWAUKEE, WI 53205-1739
(414) 248-8680
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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