Individual
MS. MYRTELL LORRAINE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
99 BOYD PLACE, RAINBOW CITY, AL 35906
(256) 442-5666
Mailing address
99 BOYD PLACE, RAINBOW CITY, AL 35906
(256) 442-5666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-66
AL
Other
Enumeration date
06/20/2006
Last updated
03/18/2008
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