Heather Jean Ivey

NPI #1447551148 in Mobile, Alabama

Provider Information

NPI Number: 1447551148
Entity Type: Individual
Name: Heather Jean Ivey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 11, 2010
Last Updated: Nov 11, 2010

Practice Location

Address: 8501 TANNER WILLIAMS RD
City: Mobile
State: Alabama
ZIP Code: 36608-8322
Phone: (251) 441-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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