Individual
ASIA DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2734
(334) 650-6078
Mailing address
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-122234
AL
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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