Individual
MARQUETTA CHYLETE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
(334) 273-7651
Mailing address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
(334) 273-7651
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
4523
AL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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