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Madison Grace Piedra
Student in an Organized Health Care Education/Training Program in Dothan, Alabama
NPI 1356103337

Madison Grace Piedra is a Student in an Organized Health Care Education/Training Program based in Dothan, AL. Madison Grace Piedra practices in Dothan, AL. The NPI Number for Madison Grace Piedra is 1356103337 and holds a License No. (Alabama).

The current practice location address for Madison Grace Piedra is 110 Anthem Ave, Dothan, AL and can be reached out via phone at 334-714-4403.

Location: 110 Anthem Ave, Dothan, AL, 36305-7372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356103337
Provider Name
Madison Grace Piedra
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Anthem Ave, Dothan, AL, 36305-7372
Phone Number
334-714-4403
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Anthem Ave
City
Dothan
State
Alabama
Zip
36305-7372
Phone Number
334-714-4403
Fax Number
person
Provider Business Mailing Address Details
Address
110 Anthem Ave
City
Dothan
State
Alabama
Zip
36305-7372
Phone Number
334-714-4403
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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