Individual
THERESA A RIDZELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4110 US HIGHWAY 31 S, DECATUR, AL 35603-1644
(256) 355-6091
(256) 341-0747
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 260-7361
(256) 341-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-122196
AL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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