NPI | 1740493436 |
---|---|
Doing Business As | CDDNCA, INC |
Entity Type | Organization |
Authorized Contact | SHAYLA SHA-VON JOHNSON Comptroller 256-350-1458 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-037625) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2015-11-09 |