Individual
TERRI VANESSA CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 RUCKER BLVD STE 11, ENTERPRISE, AL 36330-3630
(334) 360-0438
(334) 417-0040
Mailing address
1247 RUCKER BLVD STE 11, ENTERPRISE, AL 36330-3630
(334) 360-0438
(334) 417-0040
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
47-4937774
AL
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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