FRED BRACKETT

MOBILE, AL
NPI1437114741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-031202)
Enumeration Date2006-04-19
Last Update Date2007-07-08
Business Address
-- FRED BRACKETT CRNA
2451 FILLINGIM ST
MOBILE, AL 36617-2238
Phone number: 251-471-7177
Mailing Address
-- FRED BRACKETT CRNA
8255 BRACKETT LN
SEMMES, AL 36575-4550
Phone number: 251-649-4414