Individual
BRITTNAY RAE BASSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N FRANKLIN ST, NONE, MOBILE, AL 36602-2505
(228) 219-2155
Mailing address
PO BOX 1896, NONE, GAUTIER, MS 39553-0030
(228) 219-2155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
8779664
AL
Other
Enumeration date
03/27/2015
Last updated
08/11/2016
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