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MS. ALEXISA M HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDMT

Contact information

Practice address
225 VON KARMAN RD, BLDG 225, ARNOLD AFB, TN 37389
(931) 454-5365
Mailing address
3241 MITCHELL ST, TULLAHOMA, TN 37388-4156
(702) 427-1782

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
11/25/2013
Last updated
03/17/2018
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