Individual
MRS. KRISTEN HOUSE MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N 20TH ST STE 1, OPELIKA, AL 36801-5454
(334) 745-5756
Mailing address
121 N 20TH ST STE 1, OPELIKA, AL 36801-5454
(256) 337-6806
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T48511
AL
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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