Individual
HEATHER JEAN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6560
Mailing address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6560
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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