Organization
FAMILY 1ST PNCC SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATANYA L. BOYD (HEALTH EDUCATOR/CO-OWNER)
(414) 520-6574
Entity
Organization
Contact information
Practice address
4435 N 49TH ST, MILWAUKEE, WI 53218-5702
(414) 520-6574
Mailing address
4435 N 49TH ST, MILWAUKEE, WI 53218-5702
(414) 520-6574
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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