Individual
CARLA LATRESE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 FORESTDALE BLVD # 311315, BIRMINGHAM, AL 35214-3024
(205) 791-7927
Mailing address
PO BOX 311315, BIRMINGHAM, AL 35231-1315
(205) 791-7927
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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