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Individual

LASHANDUA MICHELLE VAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4260 CAHABA HEIGHTS CT, VESTAVIA, AL 35243-5711
(205) 370-7299
Mailing address
825 RIDGE LANE DR, BESSEMER, AL 35020-6055
(205) 370-7299

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AL

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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