Individual
MARY AMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7054 VETERANS PKWY, PELL CITY, AL 35125-5117
(205) 227-7985
Mailing address
701 S 5TH ST APT C, GADSDEN, AL 35901-5184
(256) 390-6355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-064136
AL
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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