Individual
ANDREA LILLIAN COLLINS RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 POPLAR LEVEL RD STE 110, LOUISVILLE, KY 40213-2906
(855) 591-0092
Mailing address
105 ANDERSON CT, RICHMOND, KY 40475-3200
(606) 670-2165
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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