Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | ||
Y | 225XE1200X | Ergonomics |
NPI | 1215576103 |
---|---|
Provider Name | Ms. Chante Warner |
First Address | Dolomite, AL 35061-1009 |
Second Address | Alexandria, VA 22311-5070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2019 |
Last Update Date | 26/12/2019 |