Upper Mattaponi Indian Tribe
NPI #1205414000 in Aylett, Virginia
Provider Information
- NPI Number
- 1205414000
- Entity Type
- Organization
- Organization Name
- Upper Mattaponi Indian Tribe
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 1, 2021
- Last Updated
- Nov 17, 2023
Practice Location
Authorized Official
- Name
- STEVE TUPPONCE
- Title
- DIRECTOR
- Phone
- (804) 347-4109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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