Individual
MRS. DIANA MARIE HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2960 S US HIGHWAY 1 STE D2, FORT PIERCE, FL 34982-8142
(772) 465-2141
(772) 465-0997
Mailing address
5146 SW SAVAGE ST, PALM CITY, FL 34990-5277
(772) 361-4166
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
5489
FL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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