Individual
MS. ETETE L. AGBABUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3303 WESTMILL DR SW STE 8, HUNTSVILLE, AL 35805-6133
(256) 326-0890
(256) 326-0890
Mailing address
PO BOX 11551, HUNTSVILLE, AL 35814-1551
(256) 326-0890
(256) 289-2640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1745
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-46177
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/03/2008
Last updated
08/12/2024
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