Individual
MRS. DONNA TACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7185
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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