Organization
MOMMY'S MANNA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIETRA RA'CHEL DALTON RN, BSN, IBCLC (CEO)
(336) 392-5384
Entity
Organization
Contact information
Practice address
205 HUNTINGTON DR, RAEFORD, NC 28376-6352
(336) 392-5384
Mailing address
205 HUNTINGTON DR, RAEFORD, NC 28376-6352
(336) 392-5384
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-47283
NC
261Q00000X
Clinic/Center
L-47283
NC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us