Individual
QUIAWANNA DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1317
(646) 941-7645
(929) 596-7897
Mailing address
2779 SOUTHWOOD LN, BESSEMER, AL 35022-5692
(205) 644-3328
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-182128
AL
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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