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Individual

NERICKA SHUNTORY BARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 WALNUT ST LOT 83, OPELIKA, AL 36804-7459
(334) 758-5450
Mailing address
4100 WALNUT ST LOT 83, OPELIKA, AL 36804-7459
(334) 758-5450

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85-2894091
AL
Enumeration date
10/02/2020
Last updated
10/02/2020
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