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Organization
HDC PROFESSIONAL SERVICES LLC
Active
Organization
HDC PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ROSE HUDSON DE CORONA CRNP (SOLE MEMBER)
(205) 960-5208
Entity
Organization
Contact information
Practice address
3081 LORNA RD STE 101, VESTAVIA HILLS, AL 35216-4509
(205) 960-5208
Mailing address
2004 HICKORY RD, VESTAVIA HILLS, AL 35216-1520
(205) 960-5208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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