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Individual

MRS. KRISTIN LEIGH BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SBD

Contact information

Practice address
13626 HIGHWAY 160, HAYDEN, AL 35079
(205) 601-8662
Mailing address
13626 HIGHWAY 160, HAYDEN, AL 35079
(205) 601-8662

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
SBD20110748
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99499
AL
Enumeration date
05/08/2018
Last updated
05/08/2018
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