Individual
RAE SOBLABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 20TH ST S, CPB, BIRMINGHAM, AL 35205-2610
(205) 934-1251
(205) 975-8950
Mailing address
908 20TH ST S, CPB 4TH FLOOR, BIRMINGHAM, AL 35205-2610
(205) 934-1251
(205) 975-8950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-046577
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WP0809X
—
AL
Enumeration date
11/06/2013
Last updated
11/06/2013
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