Individual
MRS. WANDA CAROL SCHOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MORPHY AVE, FAIRHOPE, AL 36532-2326
(251) 990-8095
(251) 990-8901
Mailing address
PO BOX 1977, FAIRHOPE, AL 36533-1977
(251) 990-8095
(251) 990-8901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69212
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51060616
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/25/2008
Last updated
04/25/2008
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