NPI 1528655487
Mommas Village Fayetteville INC
Practice location
- Address
- 131 Hay St STE 201, Fayetteville, NC 28301-6105
- Phone
- (910) 764-8314
- Mailing address
- PO Box 53224, Fayetteville, NC 28305-3224
Authorised official
- Name
- Angela Tatum Malloy
- Title
- President/Ceo/Lactation Director
- Phone
- (910) 764-8314
Registered specialties
Lactation Consultant (Non-RN)
Primary
Registry record
- NPI
- 1528655487
- Entity type
- Organization
- NPI issued
- 28 Dec 2020
- Record last updated
- 28 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.