Individual
MISS KRISTEN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 HOLLY DR, NORTHPORT, AL 35473-3607
(205) 333-1405
Mailing address
3702 HOLLY DR, NORTHPORT, AL 35473-3607
(205) 333-1405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10627
AL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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