MALISSA DESHAWN PENICK

BIRMINGHAM, AL
NPI1467784850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy227800000X Respiratory Therapist, Certified
(Licence: AL  2737)
Enumeration Date2010-02-09
Last Update Date2010-02-09
Business Address
-- MALISSA DESHAWN PENICK
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
-- MALISSA DESHAWN PENICK
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101