Individual
MAMIE ELANAGRACE ODELL PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 975-4986
Mailing address
5165 NORTHUMBERLAND RD, IRONDALE, AL 35210-2654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-195300
AL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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