Individual
TEMPESTT ODESSA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10371 CROSSLEY HILL DR, GRANDBAY, AL 36541
(251) 366-7366
Mailing address
10371 CROSSLEY HILL DR, GRANDBAY, AL 36541
(251) 366-7366
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
101581
AL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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