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Individual

MOLLEEN KOFMAN DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2200 MOUNTAIN VIEW DR, VESTAVIA, AL 35216-2026
(205) 401-8683
Mailing address
2200 MOUNTAIN VIEW DR, VESTAVIA, AL 35216-2026
(205) 401-8683

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-061433
AL

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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