Organization
FAITH CHRISTIAN MINISTRY NON-DENOMINATIONAL CHURCH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA JUANITA PETERSON-OMOTOLA REV. DR. PH.D. (PASTOR/PASTORAL COUNSELOR)
(866) 720-5321
Entity
Organization
Contact information
Practice address
7400 BEAUFONT SPRINGS DRIVE SUITE 300, RICHMOND,, VA 23225
(866) 720-5321
Mailing address
7306 SUMMERTREE DR, NORTH CHESTERFIELD, VA 23234-5935
(866) 720-5321
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
14946
VA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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