NPI 1720799455

Corlandra Lacrystal Weaver

Practitioner Non-emergency Medical Transport (VAN) Tuscaloosa, AL

Practice location

Address: 2428 6th St E, Tuscaloosa, AL 35404-3114
Phone: (205) 887-0799

Registered specialties (3)

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence 9372691 (AL)

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Driver

Other Service Providers Taxonomy 172A00000X Licence 9372691 (AL)

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Phlebotomy Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 650418160035 (AL)

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Registry record

NPI: 1720799455
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2022
Record last updated: 13 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.