Individual
MISS CARLEE ANNA SANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-4234
(205) 934-7102
Mailing address
3115 LANCASTER CT APT C, BIRMINGHAM, AL 35209-4234
(850) 502-1696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-154067
FL
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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