Individual
GENNA SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7609
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7609
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1-108570
AL
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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