Individual
CLARISSA JANE TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6582 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9424
(334) 347-2027
Mailing address
6582 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9424
(334) 347-2027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148343
AL
Other
Enumeration date
01/18/2021
Last updated
04/12/2021
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