Individual
KATRINA ADELE ERVIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 DAUPHIN ST, MOBILE, AL 36608-1780
(251) 377-0932
Mailing address
62 CROWS NEST DR, MCINTOSH, AL 36553
(251) 377-0932
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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