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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMARA KEIANA STALLWORTH

Active Sole Proprietor

TIMARA KEIANA STALLWORTH is a Student (Health Education/Training) healthcare provider located in MOBILE, Alabama. NPI 1205466729 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MOBILE, AL

Registration Details

NPI Number
1205466729
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2020 (6.5285775444306 yrs)
Last Updated
Jan 23, 2020
Licenses
S12715 (AL)
PHI-020748 (GA)
Sole Proprietor
Yes

Practice Information

Address
814 DONALD ST
MOBILE, AL, 366172924
Browse AL providers · Browse ZIP 36617
Phone
4048579880
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MOBILE, AL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.