Individual
MRS. CARA LEIGH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 225-7060
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 225-7060
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B2074645
OH
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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