Individual
DEBRITA TRENICE WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4502
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-170949
AL
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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