Individual
DONQUARIOUS TYSHAWN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1996
(334) 349-6220
Mailing address
1014 MAHOGANY ST, DEMOPOLIS, AL 36732-5919
(334) 349-6220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-196288
AL
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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