Individual
CARLA HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
2722 MOUNT OLIVE RD, MOUNT OLIVE, AL 35117-3800
(205) 567-8376
Mailing address
2722 MOUNT OLIVE RD, MOUNT OLIVE, AL 35117-3800
(205) 567-8376
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AL136485
AL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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