Individual
AALIYAH FANTROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5779 DARIEN DR, MONTGOMERY, AL 36117-3046
(334) 233-0352
Mailing address
5779 DARIEN DR, MONTGOMERY, AL 36117-3046
(334) 233-0352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-162500
AL
367500000X
Certified Registered Nurse Anesthetist
31733
SC
Other
Enumeration date
10/22/2021
Last updated
03/23/2026
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