All 4 Me & Mommy Pncc Ccc, LLC

NPI #1790448397 in Mequon, Wisconsin

Provider Information

NPI Number
1790448397
Entity Type
Organization
Organization Name
All 4 Me & Mommy Pncc Ccc, LLC
Primary Specialty
Case Management
Enumeration Date
Oct 20, 2021
Last Updated
Oct 22, 2021

Practice Location

Address
11051 N TOWNE SQUARE RD
City
Mequon
ZIP Code
53092-5051
Phone
(414) 755-2103

Authorized Official

Name
DARIKO MEKVABISHVILI
Title
PRESIDENT
Phone
(414) 745-3146

Specialties & Taxonomy Codes

Specialty
Case Management

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