VFC Provider Profile form (PH-3348, Revised 11/09)
{"Image DocumentName": "VFC Provider Profile form (PH-3348, Revised 11/09)", "Image ImageDescription": "Identifies the status of the provider in the VFC Program. The provider estimates the number of patients served in their facility for a one year period. The provider indicates the source used to determine the number of VFC eligible children. VFC Provider Profile form (PH-3348, Revised 11/09)", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}