Individual
MISS AMELIA A CHASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 MAGNOLIA DRIVE, TUSCALOOSA, AL 35487-0001
(205) 393-6558
Mailing address
718 MAGNOLIA DRIVE, TUSCALOOSA, AL 35487-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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