| NPI | 1225578370 |
|---|---|
| Doing Business As | JENNIFER BREDTHAUER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN BREDTHAUER Owner 334-332-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |