Individual
ANNA CHANH RASAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(334) 320-8131
Mailing address
517 READING LN, FULTONDALE, AL 35068-1146
(334) 320-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-171873
AL
Other
Enumeration date
12/04/2020
Last updated
08/05/2021
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