Individual
JOHNNIE M BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 135, SAWYERVILLE, AL 36776-0135
(334) 507-3212
Mailing address
PO BOX 135, SAWYERVILLE, AL 36776-0135
(334) 507-3212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
02-078032
AL
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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