SearchAlabama183500000X

Jesse Junior

NPI 1124670278 · on the registry since 2019 · sole proprietor

Practice

Address
2286 Zierdt Rd Sw
Huntsville, AL 35824
Phone
(256) 258-5997
Organisation at this address
Publix Alabama Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama