Individual
PRECIOUS BOOZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NOBLE ST STE 120, ANNISTON, AL 36201-4660
(256) 741-6160
Mailing address
629 WINDWOOD DR, ANNISTON, AL 36206-1258
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
10/19/2010
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