Individual
DONALD WILLIAM BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
LACH, BUILDING 301, FT. RUCKER, AL 36362
(334) 255-7440
Mailing address
LACH, BUILDING 301, FT. RUCKER, AL 36362
(334) 255-7440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-023003
AL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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