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Individual

SENEKA D COTHREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-093214
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051557412
AL
01
51533256
BCBSAL #
AL
01
P00295503
RR MEDICARE #
AL
Enumeration date
07/10/2006
Last updated
05/21/2009
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