DEDRA MATOYA ROBERTSON

ANDALUSIA, AL
NPI1104388701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: AL  23190424)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
DEDRA MATOYA ROBERTSON
110 BEASLEY ST
ANDALUSIA, AL 36420-4957
Phone number: 334-892-3784
Mailing Address
DEDRA MATOYA ROBERTSON
110 BEASLEY ST
ANDALUSIA, AL 36420-4957
Phone number: 334-892-3784