Individual
DENECE CLAYBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE., FORT RUCKER, AL 36362-2334
(334) 255-9915
Mailing address
301 ANDREWS AVE., FORT RUCKER, AL 36362-2334
(334) 255-9915
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0001165547
VA
163WC1500X
Community Health Registered Nurse
Primary
1-128885
AL
Other
Enumeration date
03/09/2010
Last updated
02/01/2011
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