Timara Keiana Stallworth
Timara Keiana Stallworth is a Student in an Organized Health Care Education/Training Program in Mobile, Alabama. Practices as a sole proprietor. Licensed in Alabama and Georgia.
- Licensed in
- AL, GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Mobile, ALNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence PHI-020748 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence S12715 (AL) |
Record details
| NPI number | 1205466729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2020 |
| Last updated in NPPES | January 23, 2020 |
| Certification date | January 23, 2020 |
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