Individual
VANESSA L SIDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51096253
BCBS OF AL
AL
Enumeration date
04/21/2006
Last updated
07/08/2007
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