Kodehreun Tyrique Womack

NPI #1720810799 in Saraland, Alabama

Provider Information

NPI Number: 1720810799
Entity Type: Individual
Name: Kodehreun Tyrique Womack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 17, 2024
Last Updated: Aug 17, 2024

Practice Location

Address: 100 MCKEOUGH AVE APT 1604
City: Saraland
State: Alabama
ZIP Code: 36571-3278
Phone: (251) 264-0931

Specialties & Taxonomy Codes

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

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