SearchAlabama163W00000X

Taila Custred

NPI 1447050679 · on the registry since 2025 · sole proprietor

Practice

Address
4718 Cedar Lake Rd
Parrish, AL 35580
Phone
(205) 388-8254

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-17

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