Individual
JAKEYLA AMBRIEL CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 DUBLIN CIR, TUSCALOOSA, AL 35406-2797
(678) 779-0633
Mailing address
1900 RICE MINE RD N APT 411, TUSCALOOSA, AL 35406-2344
(678) 779-0633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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