Individual
MR. COREY GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 FOREST LAKES DR, STERRETT, AL 35147-8163
(205) 719-9387
Mailing address
371 FOREST LAKES DR, STERRETT, AL 35147-8163
(205) 719-9387
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/18/2019
Last updated
09/21/2020
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