Individual
MRS. ALEXIA KRISTIANNA VASQUEZ POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1118 ROSS CLARK CIR STE 302, DOTHAN, AL 36301-3049
(334) 699-0060
(334) 699-0061
Mailing address
361 E COUNTY RD 19, OZARK, AL 36360
(334) 796-9867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-150624
AL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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