Individual
AMY ELIZABETH SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
40 ASBURY LN, DEATSVILLE, AL 36022-4506
(205) 222-0639
Mailing address
40 ASBURY LN, DEATSVILLE, AL 36022-4506
(205) 222-0639
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1742
AL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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