Organization
VAXINALL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LAND KELLER CRNA (OWNER)
(334) 294-9342
Entity
Organization
Contact information
Practice address
648 PARK AVE, MONTGOMERY, AL 36106-1837
(334) 294-9342
Mailing address
648 PARK AVE, MONTGOMERY, AL 36106-1837
(334) 294-9342
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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