DANIEL RILEY BOALCH

BIRMINGHAM, AL
NPI1912342668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S10586)
Enumeration Date2013-05-08
Last Update Date2013-05-08
Business Address
Mr. DANIEL RILEY BOALCH
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-4772
Mailing Address
Mr. DANIEL RILEY BOALCH
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-4772