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Colonia Pickens

NPI 1598069544 · on the registry since 2011 · sole proprietor

Practice

Address
6901 Baptist Campground Rd
Northport, AL 35473
Phone
(205) 333-7695
Fax
(205) 339-7506

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-05

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