Individual
JIMMY HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
571 TRAWICK RD, DOTHAN, AL 36305-4219
(334) 792-0407
Mailing address
571 TRAWICK RD, DOTHAN, AL 36305-4219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10433
AL
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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