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Individual

FAITH RAKESTRAW GRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1009 PARK VIEW DR, CHELSEA, AL 35043-1140
(205) 434-5560

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-177047
AL

Other

Enumeration date
03/30/2022
Last updated
09/11/2025
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