Individual
MRS. CLARISSA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 CARMICHAEL RD APT 2207, MONTGOMERY, AL 36117-1813
(334) 777-7294
Mailing address
5600 CARMICHAEL RD APT 2207, MONTGOMERY, AL 36117-1813
(334) 777-7294
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
201815234
AL
Other
Enumeration date
11/23/2018
Last updated
01/08/2019
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