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NPI Code Detail

MEDICARE: THE VBAC DOULA LLC

MEDICARE: THE VBAC DOULA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1235861006
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE VBAC DOULA LLC
Provider Business Mailing Address
First Line : 304 N 31ST ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1421 MECHANICSVILLE TPKE
Second Line :
City : RICHMOND
State : VA
Zip : 23223-4307
Country : US
Telephone Number : 804-309-7661
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : BONITA RAINMAKER
Credential :
Telephone Number : 804-309-7661
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/29/2022

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Directions to “THE VBAC DOULA LLC ” Practice Location

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