Organization
FOR MOM AND KEIKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BUONCRISTIANO-THAI (OWNER)
(757) 232-2162
Entity
Organization
Contact information
Practice address
110 HATCHER CT, YORKTOWN, VA 23693-2848
(757) 232-2162
Mailing address
110 HATCHER CT, YORKTOWN, VA 23693-2848
(757) 232-2162
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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