Individual
OCTAVIA ELISA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 GREEN SPRINGS HWY, SUITE 124 STUDIO 4, HOMEWOOD, AL 35216
(205) 862-8696
Mailing address
808 GREEN SPRINGS HWY, SUITE 124 STUDIO 4, HOMEWOOD, AL 35216
(205) 862-8696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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