Organization
DEARBORN HOMES INC.
Active
Other names
Dearborn Homes Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TISUNGANE BLESSING CHIWEMBU NURSE PRACTITIONER (NURSE PRACTITIONER)
(251) 533-0642
Entity
Organization
Contact information
Practice address
3151-A KNOLLWOOD DRIVE, MOBILE, AL 36693, MOBILE, AL 36693
(251) 661-7608
Mailing address
1200 GRANDE OAK BLVD APT 1102, SARALAND, AL 36571-3741
(251) 533-0642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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