Individual
ASTRA AUTUMN AMONETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8555 BUCKINGHAM CT, SPANISH FORT, AL 36527-5286
(251) 348-9179
Mailing address
1701 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-1815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-119877
AL
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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