Individual
MRS. ANTOINETTE LASHAE DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
BLD 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7920
Mailing address
BLD 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7920
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
B1835877
AL
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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