Individual
KANDICE CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5954 SPERRY RD APT R6, THEODORE, AL 36582-8848
(251) 382-3577
Mailing address
5954 SPERRY RD APT R6, THEODORE, AL 36582-8848
(251) 382-3577
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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