Individual
JOHNFER LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 18TH AVE, TUSCALOOSA, AL 35405-3641
(205) 219-0138
Mailing address
5500 18TH AVE, TUSCALOOSA, AL 35405-3641
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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