Individual
JUNAUH MARIAH ALLGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1006 11TH AVE N APT A, COLUMBUS, MS 39701-3543
(601) 692-3395
Mailing address
5721 USA DR N, MOBILE, AL 36688-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-172929
AL
Other
Enumeration date
02/12/2020
Last updated
06/15/2020
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