Individual
WILDA MCINNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 JACK COLEMAN DR NW, HUNTSVILLE, AL 35805-2637
(256) 694-0534
Mailing address
409 JACK COLEMAN DR NW, HUNTSVILLE, AL 35805-2637
(256) 694-0534
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
AL
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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