Individual
JADA MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 POPLAR ST, MONROEVILLE, AL 36460-2557
(251) 348-8512
Mailing address
107 POPLAR ST, MONROEVILLE, AL 36460-2557
(251) 348-8512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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