Individual
DENISE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Mailing address
405 SEMINOLE DR, MONTGOMERY, AL 36117-3905
(334) 294-7419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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