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Organization

PRECIOUS MOMENTS PNCC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AKYAA SMTH (OWNER)
(702) 846-7315
Entity
Organization

Contact information

Practice address
8577 WEST CHEYENNE STREET, MILWAUKEE, WI, 53224, UNITED, MILWAUKEE, WI 53224
(702) 846-7315
Mailing address
8577 WEST CHEYENNE STREET, MILWAUKEE, WI, 53224, UNITED, MILWAUKEE, WI 53224
(702) 846-7315

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
01/06/2022
Last updated
01/06/2022
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