Individual
VANESHIA VENEA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1361 10TH AVE STE D, CALERA, AL 35040-6253
(205) 218-6878
Mailing address
1361 10TH AVE STE D, CALERA, AL 35040-6253
(205) 218-6878
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1-160804
AL
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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