Individual
THELMA R COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5222 OAKS OF ST CLAIR CIR, MOODY, AL 35004-3261
(256) 689-6304
Mailing address
5222 OAKS OF ST CLAIR CIR, MOODY, AL 35004-3261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-161824
AL
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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