Organization
JENNIFER E TODD
Active
Other names
Blue Angel Medical Dental Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TODD MT ASCP (OWNER)
(270) 454-1728
Entity
Organization
Contact information
Practice address
316 S MCKENZIE ST STE 171, FOLEY, AL 36535-1980
(270) 454-8224
Mailing address
PO BOX 171, LILLIAN, AL 36549-0171
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
02/17/2018
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