Individual
JESSICA HARDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 N DEAN RD, AUBURN, AL 36830-7638
(501) 860-8739
Mailing address
1322 N DEAN RD, AUBURN, AL 36830-7638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12756
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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