Theressa Juliette Runge

NPI #1548859440 in Prattville, Alabama

Provider Information

NPI Number: 1548859440
Entity Type: Individual
Name: Theressa Juliette Runge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 14, 2021
Last Updated: Jan 14, 2021

Practice Location

Address: 108 CRENSHAW CT
City: Prattville
State: Alabama
ZIP Code: 36067-1767
Phone: (803) 572-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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