Individual
LAQUANTA BURKS BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 RIDGECREST LOOP, DOTHAN, AL 36301-6048
(205) 643-8158
Mailing address
166 RIDGECREST LOOP, DOTHAN, AL 36301-6048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-104336
AL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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